Cacapon Center for Growth, PLLC
Organization Active NPI Community/Behavioral Health Agency · Berkeley Spring, WV
NPI 1003420522 · NPPES record last updated Sep 2, 2020
Key facts
- NPI
- 1003420522
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Behavioral Health Agency 251S00000X
- Legal business name
- CACAPON CENTER FOR GROWTH, PLLC
- Practice address
- 144 Grove Heights Road
Berkeley Spring, WV 25411-4816 - Phone
- (304) 500-8133
- NPI assigned
- Sep 2, 2020
- Organization subpart
- No
Authorized official
- Name
- Ryan Matthew Moon, MSW, LICSW
- Title
- Owner/Manager
- Phone
- (304) 702-4426
National Provider Directory
Locations
1855 Valley Rd
#368
Berkeley Springs, WV 25411
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Yes |
Addresses
Primary practice location
144 Grove Heights Road
Berkeley Spring, WV 25411-4816
Mailing address
1855 Valley Rd # 368
Berkeley Springs, WV 25411-4816
Phone (304) 702-4426
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 2, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.