| Organization Name: | ATLANTIC COAST LIVING FIT CENTER |
| NPI Number: | 1750578225 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DEBBE A. BOURGOIN (PRESIDENT) |
| Mailing Address: | 323 S Pitney Rd Suite 201 Galloway |
| State: | NJ US |
| Postal Code: | 082059612 |
| Phone Number: | 6096776980 |
| Fax Number: | 6096776983 |
| NPI Enumeration Date: | 09/28/2007 |
| NPI Last Update Date: | 12/01/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 133V00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Dietary & Nutritional Service Providers |
| Taxonomy Classification: | Dietitian, Registered |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor |