| NPI | 1164123907 |
|---|---|
| Other Name | OFFICE OF DIVERSION AND REENTRY MENTAL HEALTH CLINIC |
| Entity Type | Organization |
| Authorized Contact | VIET NGUYEN Medical Director 213-418-3600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2023-03-16 |
| Last Update Date | 2024-04-03 |