| Straight Gate, Inc. | |
|
58 Grace Way Elkins WV 26241-1194 | |
| (304) 317-7776 | |
| Not Available |
| Full Name | Straight Gate, Inc. |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 58 Grace Way, Elkins, West Virginia |
| Authorized Official Name and Position | James Garland Wilson (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 3043177776 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Straight Gate, Inc. 58 Grace Way Elkins WV 26241-1194 Ph: (304) 317-7776 | Straight Gate, Inc. 58 Grace Way Elkins WV 26241-1194 Ph: (304) 317-7776 |
| NPI Number | 1801508072 |
|---|---|
| Provider Enumeration Date | 12/20/2022 |
| Last Update Date | 12/20/2022 |
| Certification Date | 12/20/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801508072 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
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