Organization
FORTRESS EMPOWERMENT CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TAMIKCO LATASHA BETHEA (CEO)
(910) 257-1274
Entity
Organization
Contact information
Practice address
2520 CAMP LEJEUNE CT, HOPE MILLS, NC 28348-8049
(910) 257-1274
Mailing address
2520 CAMP LEJEUNE CT, HOPE MILLS, NC 28348-8049
(910) 257-1274
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
—
Other
Enumeration date
07/22/2025
Last updated
07/22/2025
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