Organization
CACAPON CENTER FOR GROWTH, PLLC
Active
Organization
CACAPON CENTER FOR GROWTH, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN MATTHEW MOON MSW, LICSW (OWNER/MANAGER)
(304) 702-4426
Entity
Organization
Contact information
Practice address
144 GROVE HEIGHTS ROAD, BERKELEY SPRING, WV 25411-4816
(304) 500-8133
Mailing address
1855 VALLEY RD # 368, BERKELEY SPRINGS, WV 25411-4816
(304) 702-4426
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
09/02/2020
Last updated
09/02/2020
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