Provider Demographics
NPI:1659544435
Name:EMANI INC
Entity Type:Organization
Organization Name:EMANI INC
Other - Org Name:HOUSE OF NAMASTE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:JUNE
Authorized Official - Middle Name:
Authorized Official - Last Name:CUMMINGS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:707-656-5670
Mailing Address - Street 1:PO BOX 4156
Mailing Address - Street 2:
Mailing Address - City:VALLEJO
Mailing Address - State:CA
Mailing Address - Zip Code:94590-0415
Mailing Address - Country:US
Mailing Address - Phone:707-557-5200
Mailing Address - Fax:707-552-7373
Practice Address - Street 1:420 E O ST
Practice Address - Street 2:
Practice Address - City:BENICIA
Practice Address - State:CA
Practice Address - Zip Code:94510-2861
Practice Address - Country:US
Practice Address - Phone:707-297-6393
Practice Address - Fax:707-297-6445
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-11
Last Update Date:2008-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA480029BN324500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility