Organization
OLIVE CREST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD VERLEUR MBA (CEO)
(714) 543-5437
Entity
Organization
Contact information
Practice address
23115 RIDER ST, PERRIS, CA 92570-9723
(951) 686-8500
Mailing address
2130 E 4TH ST STE 200, SANTA ANA, CA 92705-3818
(714) 543-5437
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
07/26/2019
Last updated
11/05/2019
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