NPI 1033971874
Lgtc Management Company
Practice location
- Address
- 1534 San Andreas Ave, San Jose, CA 95118-1055
- Phone
- (408) 553-3403
- Mailing address
- 2542 S Bascom Ave STE 110, Campbell, CA 95008-5541
Authorised official
- Name
- Eugene Tilman
- Title
- Executive Director
- Phone
- (408) 559-3403
Registered specialties
Psychiatric Residential Treatment Facility
Primary
Registry record
- NPI
- 1033971874
- Entity type
- Organization
- NPI issued
- 26 Jan 2024
- Record last updated
- 26 Jan 2024
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.