Organization
LOS GATOS THERAPY CENTER
Active
Parent organization
LOS GATOS THERAPY CENTER
Other names
LGTC GROUP
Organization subpart
Yes
Provider details
NPI number
Legal business name
LOS GATOS THERAPY CENTER
Authorized official
EUGENE TILMAN (DIRECTOR OF OPERATION)
(800) 913-2615
Entity
Organization
Contact information
Practice address
1575 OLD BAYSHORE HWY STE 205, BURLINGAME, CA 94010-1613
(669) 254-4852
(408) 796-1558
Mailing address
2542 S BASCOM AVE STE 110, CAMPBELL, CA 95008-5541
(669) 254-4852
(408) 796-1558
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
02/19/2021
Last updated
11/29/2022
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