| American Active Rehab Inc | |
|
401 Whitney Ave Suite 523 Gretna LA 70056-2558 | |
| (504) 263-1403 | |
| (504) 263-1423 |
| Full Name | American Active Rehab Inc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 401 Whitney Ave, Gretna, Louisiana |
| Authorized Official Name and Position | Rita Chinwe Ekenta (CEO) |
| Authorized Official Contact | 5042631403 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| American Active Rehab Inc 401 Whitney Ave Ste 320 Gretna LA 70056-2502 Ph: (504) 263-1403 | American Active Rehab Inc 401 Whitney Ave Suite 523 Gretna LA 70056-2558 Ph: (504) 263-1403 |
| NPI Number | 1780720839 |
|---|---|
| Provider Enumeration Date | 01/29/2007 |
| Last Update Date | 06/23/2023 |
| Certification Date | 06/23/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780720839 | NPI | - | NPPES |
| 1150363 | Medicaid | LA |
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