NPI 1003420522
Cacapon Center for Growth, PLLC
Practice location
- Address
- 144 Grove Heights Road, Berkeley Spring, WV 25411-4816
- Phone
- (304) 500-8133
- Mailing address
- 1855 Valley Rd # 368, Berkeley Springs, WV 25411-4816
Authorised official
- Name
- Ryan Matthew Moon
- Title
- Owner/Manager
- Phone
- (304) 702-4426
Registered specialties
Community/Behavioral Health Agency
Primary
Registry record
- NPI
- 1003420522
- Entity type
- Organization
- NPI issued
- 2 Sep 2020
- Record last updated
- 2 Sep 2020
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.