| NPI | 1902566557 |
|---|---|
| Former Legal Business Name | GREG'S OPTIMIZED NUTRITION, LLC |
| Former Legal Business Name | CLOCKED IN WELLNESS, LLC. |
| Entity Type | Organization |
| Authorized Contact | GREGORY LAFORTUNE Owner 404-509-1195 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2021-12-22 |
| Last Update Date | 2023-10-31 |