Organization Name: | TGWC DETOX |
NPI Number: | 1871963520 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DENISE MELENDEZ (DIRECTOR) |
Mailing Address: | 16565 Ne Th Avenue North Miami |
State: | FL US |
Postal Code: | 33162 |
Phone Number: | 3059441516 |
Fax Number: | |
NPI Enumeration Date: | 10/06/2015 |
NPI Last Update Date: | 10/06/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | ND5691 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | FL |
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 |