| NPI | 1831781558 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMBER NICOLE YOUNG Owner, Registered Dietitian 704-221-7183 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered |
| Enumeration Date | 2021-02-04 |
| Last Update Date | 2021-02-04 |