Organization
LOS GATOS THERAPY CENTER
Active
Other names
LGTC GROUP
Organization subpart
No
Provider details
NPI number
Authorized official
YEVGENIY TILMAN (EXECUTIVE DIRECTOR)
(408) 559-3403
Entity
Organization
Contact information
Practice address
4850 UNION AVE, SAN JOSE, CA 95124-5156
(800) 913-2615
Mailing address
4850 UNION AVE, SAN JOSE, CA 95124-5156
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
07/10/2024
Last updated
07/10/2024
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