Organization
OLIVE CREST
Active
Other names
CYS Olive Crest Malena House
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DONALD A. VERLEUR II MBA (CHIEF EXECUTIVE OFFICER)
(714) 543-5437
Entity
Organization
Contact information
Practice address
13442 MALENA DR, SANTA ANA, CA 92705-1912
(714) 832-3629
(714) 731-4393
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
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
—
Other
Enumeration date
04/12/2018
Last updated
06/04/2021
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