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Organization

IDEAL PSYCH BEHAVIORAL HEALTH LIMITED LIABILITY COMPANY

Active
Other names
IDEAL PSYCH BEHAVIORAL HEALTH LIMITED LIABILITY COMPANY
Organization subpart
No

Provider details

NPI number
Authorized official
DR. EMILY WANYOIKE DNP (PRESIDENT)
(862) 264-8062
Entity
Organization

Contact information

Practice address
1145 BORDENTOWN AVE, 3RD FLOOR ROOM 18, PARLIN, NJ 08859-0885
(862) 264-8062
(862) 418-4933
Mailing address
23 QUINCY CIR, DAYTON, NJ 08810-1331
(862) 264-8062
(732) 553-2643

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
732163331
NJ
Enumeration date
09/19/2023
Last updated
10/10/2025
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