Organization
CENTER FOR LOSS AND TRAUMA
Active
Parent organization
MISS FOUNDATION
Organization subpart
Yes
Provider details
NPI number
Legal business name
MISS FOUNDATION
Authorized official
DR. JOANNE CACCIATORE PHD, FT, LMSW (DIRECTOR)
(602) 574-1000
Entity
Organization
Contact information
Practice address
2525 W CAREFREE HWY # 7-148, PHOENIX, AZ 85085-6093
(623) 979-1000
Mailing address
2525 W CAREFREE HWY # 7-148, PHOENIX, AZ 85085-6093
(623) 979-1000
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
LMSW11914
AZ
Other
Enumeration date
03/22/2010
Last updated
03/22/2010
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