Organization
REBUILD CALIFORNIA ALLIANCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEANTWAN MARQUIS FITTS (FOUNDER)
(323) 422-1124
Entity
Organization
Contact information
Practice address
145 W 99TH ST, LOS ANGELES, CA 90003-4114
(323) 422-1124
(323) 531-4063
Mailing address
7622 AVALON BLVD, LOS ANGELES, CA 90003-2326
(323) 422-1124
(323) 920-7380
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
06/19/2008
Last updated
04/08/2026
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