Organization
OLIVE CREST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DONALD VERLEUR MBA (CEO)
(714) 543-5437
Entity
Organization
Contact information
Practice address
3516 S 47TH ST STE 203, TACOMA, WA 98409-4475
(253) 572-7888
(253) 572-7727
Mailing address
2130 E 4TH ST STE 200, SANTA ANA, CA 92705-3818
(714) 856-7177
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
03/09/2020
Last updated
03/24/2020
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