Organization
PROJECT REBUILD, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES TAYLOR (CEO)
(424) 644-4714
Entity
Organization
Contact information
Practice address
3933 W 28TH ST, LOS ANGELES, CA 90018-2351
(424) 644-4714
Mailing address
3933 W 28TH ST, LOS ANGELES, CA 90018-2351
(424) 644-4714
Taxonomy
Speciality
Code
Description
License number
State
261QR0800X
Recovery Care Clinic/Center
Primary
—
—
Other
Enumeration date
08/04/2023
Last updated
08/04/2023
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