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Organization
YOUTH STYLE FITNESS INC
Active
Organization
YOUTH STYLE FITNESS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KIM OLIGE II (PRESIDENT)
(704) 277-8170
Entity
Organization
Contact information
Practice address
911 E MOREHEAD ST, CHARLOTTE, NC 28204-2856
(704) 277-8170
Mailing address
3020I PROSPERITY CHURCH RD STE 521, CHARLOTTE, NC 28269-8112
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
NULL
1041C0700X
Clinical Social Worker
—
—
133NN1002X
Nutrition Education Nutritionist
—
NULL
133NN1002X
Nutrition Education Nutritionist
—
—
133VN1201X
Obesity and Weight Management Nutrition Registered Dietitian
—
NULL
133VN1201X
Obesity and Weight Management Nutrition Registered Dietitian
—
—
225XP0019X
Physical Rehabilitation Occupational Therapist
—
NULL
225XP0019X
Physical Rehabilitation Occupational Therapist
—
—
225XP0200X
Pediatric Occupational Therapist
—
NULL
225XP0200X
Pediatric Occupational Therapist
—
—
251V00000X
Voluntary or Charitable Agency
—
NULL
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
NULL
261QP2000X
Physical Therapy Clinic/Center
—
NULL
Other
Enumeration date
02/06/2023
Last updated
05/01/2023
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