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Organization
STRAIGHT GATE, INC.
Active
Organization
STRAIGHT GATE, INC.
Active
Other names
12-2-1 Roundtables
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES GARLAND WILSON III BA, ADC-S (EXECUTIVE DIRECTOR)
(304) 317-7776
Entity
Organization
Contact information
Practice address
58 GRACE WAY, ELKINS, WV 26241-1194
(304) 317-7776
Mailing address
58 GRACE WAY, ELKINS, WV 26241-1194
(304) 317-7776
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
12/20/2022
Last updated
12/20/2022
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