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Organization

LGTC GROUP

Active
Other names
Los Gatos Wellness Center
Organization subpart
No

Provider details

NPI number
Authorized official
YEVGENIY TILMAN (EXECUTIVE DIRECTOR)
(408) 505-1873
Entity
Organization

Contact information

Practice address
25971 MAR VISTA CT, LOS GATOS, CA 95033-8026
(800) 913-2615
Mailing address
4850 UNION AVE, SAN JOSE, CA 95124-5156

Taxonomy

Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary

Other

Enumeration date
06/19/2026
Last updated
06/19/2026
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