Organization
ERICA B A EVA GIRL FOR THE CAUSE SOBER LIVING
Active
Other names
ERICA B A EVA GIRL FOR THE CAUSE SOBER LIVING, ERICA B A EVA GIRL FOR THE CAUSE SOBER LIVING
Organization subpart
No
Provider details
NPI number
Authorized official
ERICA RENA GRAHAM-BULLOCK (OWNER / ADMINISTRATOR)
(951) 226-1750
Entity
Organization
Contact information
Practice address
1779 E FLORIDA AVE STE B1, HEMET, CA 92544-4601
(951) 226-1750
(951) 220-4761
Mailing address
1779 E FLORIDA AVE STE B1, HEMET, CA 92544-4601
(951) 226-1750
(951) 220-4761
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
04/11/2025
Last updated
04/11/2025
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