NPI 1447987367
Lgtc Management Company
Practice location
- Address
- 1551 Hamilton Ave, San Jose, CA 95125-4540
- Phone
- (408) 559-3403
- Mailing address
- 2542 S Bascom Ave STE 110, Campbell, CA 95008-5541
Authorised official
- Name
- Eugene Tilman
- Title
- Director
- Phone
- (408) 559-3403
Registered specialties
Psychiatric Residential Treatment Facility
Primary
Registry record
- NPI
- 1447987367
- Entity type
- Organization
- NPI issued
- 2 Aug 2022
- Record last updated
- 2 Aug 2022
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.