| Planting Fundamentals Llc | |
|
114 Manhasset Trl Medford Lakes NJ 08055-1133 | |
| (609) 442-8411 | |
| Not Available |
| Full Name | Planting Fundamentals Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 114 Manhasset Trl, Medford Lakes, New Jersey |
| Authorized Official Name and Position | Michael Tyrrell (OWNER) |
| Authorized Official Contact | 6094428411 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Planting Fundamentals Llc 114 Manhasset Trl Medford Lakes NJ 08055-1133 Ph: (609) 442-8411 | Planting Fundamentals Llc 114 Manhasset Trl Medford Lakes NJ 08055-1133 Ph: (609) 442-8411 |
| NPI Number | 1578350930 |
|---|---|
| Provider Enumeration Date | 04/21/2025 |
| Last Update Date | 04/21/2025 |
| Certification Date | 04/21/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578350930 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |