| NPI | 1235435520 |
|---|---|
| Doing Business As | DAZ FOUNDATION |
| Entity Type | Organization |
| Authorized Contact | ELLEN RONA KIMMEL Clinical Director 323-447-8372 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCS11387) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA ASW27738) |
| Enumeration Date | 2011-02-03 |
| Last Update Date | 2013-11-27 |