Organization
LOS GATOS THERAPY CENTER
Active
Parent organization
LOS GATOS THERAPY CENTER
Other names
LGTC WILLOW GLEN
Organization subpart
Yes
Provider details
NPI number
Legal business name
LOS GATOS THERAPY CENTER
Authorized official
EUGENE TILMAN (EXECUTIVE DIRECTOR)
(408) 505-1873
Entity
Organization
Contact information
Practice address
1551 HAMILTON AVE, SAN JOSE, CA 95125-4540
(800) 913-2615
Mailing address
2542 S BASCOM AVE STE 110, CAMPBELL, CA 95008-5541
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
323P00000X
Psychiatric Residential Treatment Facility
Primary
—
—
Other
Enumeration date
04/14/2022
Last updated
04/14/2022
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