| NPI | 1942893953 |
|---|---|
| Doing Business As | LGTC GROUP |
| Entity Type | Organization |
| Authorized Contact | EUGENE TILMAN Director Of Operation 800-913-2615 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0855X Clinic/Center Adolescent and Children Mental Health |
| Additional Taxonomies | 261QM0850X Clinic/Center Adult Mental Health |
| Enumeration Date | 2021-02-19 |
| Last Update Date | 2022-11-29 |