Provider Demographics
NPI:1437208923
Name:ARMS OF GRACE HUMANITARIAN SERVICES, ADPCC
Entity Type:Organization
Organization Name:ARMS OF GRACE HUMANITARIAN SERVICES, ADPCC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:O
Authorized Official - Last Name:IRUKE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:323-750-8040
Mailing Address - Street 1:2931 W FLORENCE AVE
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90043-5110
Mailing Address - Country:US
Mailing Address - Phone:323-750-8040
Mailing Address - Fax:323-750-8040
Practice Address - Street 1:2931 W FLORENCE AVE
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90043-5110
Practice Address - Country:US
Practice Address - Phone:323-750-8040
Practice Address - Fax:323-750-8040
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-10
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility