NPI 1528701976

Los Gatos Therapy Center

Organisation Psychiatric Residential Treatment Facility San Jose, CA

Practice location

Address: 1551 Hamilton Ave, San Jose, CA 95125-4540
Phone: (800) 913-2615
Mailing address: 2542 S Bascom Ave STE 110, Campbell, CA 95008-5541

Authorised official

Name: Eugene Tilman
Title: Executive Director
Phone: (408) 505-1873

Registered specialties (2)

Psychiatric Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 323P00000X

Other Psychiatric Residential Treatment Facility providers in California →

Mental Illness Community Based Residential Treatment Facility

Residential Treatment Facilities Taxonomy 320800000X

Other Community Based Residential Treatment Facility, Mental Illness providers in California →

Registry record

NPI: 1528701976
Entity type: Organization
NPI issued: 14 Apr 2022
Record last updated: 14 Apr 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.