| NPI | 1033971874 |
|---|---|
| Doing Business As | LGTC CAMBRIAN |
| Entity Type | Organization |
| Authorized Contact | EUGENE TILMAN Executive Director 408-559-3403 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility |
| Enumeration Date | 2024-01-26 |
| Last Update Date | 2024-01-26 |