Organization
AMERICAN ACTIVE REHAB INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RITA CHINWE EKENTA J.D. (CEO)
(504) 263-1403
Entity
Organization
Contact information
Practice address
401 WHITNEY AVE, SUITE 523, GRETNA, LA 70056-2558
(504) 263-1403
(504) 263-1423
Mailing address
401 WHITNEY AVE STE 320, GRETNA, LA 70056-2502
(504) 263-1403
(504) 263-1423
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1150363
—
LA
Enumeration date
01/29/2007
Last updated
06/23/2023
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