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Organization
OLIVE CREST
Active
Organization
OLIVE CREST
Active
Parent organization
OLIVE CREST
Organization subpart
Yes
Provider details
NPI number
Legal business name
OLIVE CREST
Authorized official
MR. DONALD A. VERLEUR II MBA (CHIEF EXECUTIVE OFFICER)
(714) 543-5437
Entity
Organization
Contact information
Practice address
805-807 N CENTRAL AVE, GLENDALE, CA 91203-1230
(818) 630-7480
(818) 563-2342
Mailing address
2130 E 4TH ST STE 200, SANTA ANA, CA 92705-3818
(714) 543-5437
(714) 543-5463
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7964
—
CA
Enumeration date
04/22/2015
Last updated
04/10/2019
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