Organization
EMANI INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MONIQUE MARIE DAVIS N/A (DEPUTY DIRECTOR)
(707) 421-1200
Entity
Organization
Contact information
Practice address
420 E O ST, BENICIA, CA 94510-2861
(707) 297-6393
(707) 297-6445
Mailing address
200 PEPPERCORN CT, VALLEJO, CA 94591-8028
(707) 421-1200
(707) 421-1200
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
480029AN
CA
324500000X
Substance Abuse Rehabilitation Facility
Primary
480029BN
CA
Other
Enumeration date
11/04/2008
Last updated
11/04/2008
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