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Organization

FORTRESS BEHAVIORAL SERVICES INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. GARY GULLATTE JR. (OWNER/EXECUTIVE DIRECTOR)
(704) 472-6183
Entity
Organization

Contact information

Practice address
836 CHURCHILL DR, SHELBY, NC 28150-6006
(704) 472-6183
Mailing address
836 CHURCHILL DR, SHELBY, NC 28150-6006
(704) 472-6183

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary

Other

Enumeration date
05/17/2012
Last updated
05/17/2012
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