Provider Demographics
NPI:1487000758
Name:VAMANO INC
Entity Type:Organization
Organization Name:VAMANO INC
Other - Org Name:NMA TREATMENT CENTERS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:ROLAND
Authorized Official - Last Name:AYOTTE
Authorized Official - Suffix:
Authorized Official - Credentials:MS, MBA
Authorized Official - Phone:302-543-5181
Mailing Address - Street 1:5231 W WOODMILL DR
Mailing Address - Street 2:SUITE 45
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19808-4068
Mailing Address - Country:US
Mailing Address - Phone:302-543-5181
Mailing Address - Fax:302-543-5192
Practice Address - Street 1:5231 W WOODMILL DR
Practice Address - Street 2:SUITE 45
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19808-4068
Practice Address - Country:US
Practice Address - Phone:302-543-5181
Practice Address - Fax:302-543-5192
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-05
Last Update Date:2016-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DE2010605866174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty