# OLIVE CREST

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- **Entity:** Organization
- **Status:** Active
- **Other names:** CYS Olive Crest Malena House
- **Organization subpart:** No

## Provider details

- **NPI number:** 1659878809
- **Authorized official:** MR. DONALD A. VERLEUR II MBA (CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (714) 543-5437

## Contact information

- **Practice address:** 13442 MALENA DR, SANTA ANA, CA 92705-1912
- **Practice address phone:** (714) 832-3629
- **Practice address fax:** (714) 731-4393
- **Mailing address:** 2130 E 4TH ST STE 200, SANTA ANA, CA 92705-3818
- **Mailing address phone:** (714) 543-5437
- **Mailing address fax:** (714) 543-5463

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | — | — | Yes |

## Other

- **Enumeration date:** 04/12/2018
- **Last updated:** 06/04/2021