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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