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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
133NN1002X
Nutrition Education Nutritionist
133VN1201X
Obesity and Weight Management Nutrition Registered Dietitian
225XP0019X
Physical Rehabilitation Occupational Therapist
225XP0200X
Pediatric Occupational Therapist
251V00000X
Voluntary or Charitable Agency
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
261QP2000X
Physical Therapy Clinic/Center

Other

Enumeration date
02/06/2023
Last updated
05/01/2023
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