Cacapon Center For Growth, Pllc | |
144 Grove Heights Road Berkeley Spring WV 25411-4816 | |
(304) 500-8133 | |
Not Available |
Full Name | Cacapon Center For Growth, Pllc |
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Speciality | Community/behavioral Health |
Location | 144 Grove Heights Road, Berkeley Spring, West Virginia |
Authorized Official Name and Position | Ryan Matthew Moon (OWNER/MANAGER) |
Authorized Official Contact | 3047024426 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Cacapon Center For Growth, Pllc 1855 Valley Rd # 368 Berkeley Springs WV 25411-4816 Ph: (304) 702-4426 | Cacapon Center For Growth, Pllc 144 Grove Heights Road Berkeley Spring WV 25411-4816 Ph: (304) 500-8133 |
NPI Number | 1003420522 |
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Provider Enumeration Date | 09/02/2020 |
Last Update Date | 09/02/2020 |
Certification Date | 08/26/2020 |
Identifier | Type | State | Issuer |
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1003420522 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |