Organization
OLIVE CREST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DONALD A. VERLEUR MBA (CHIEF EXECUTIVE OFFICER)
(714) 543-5437
Entity
Organization
Contact information
Practice address
4285 N RANCHO DR STE 160, LAS VEGAS, NV 89130-3456
(702) 685-6459
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
—
—
253J00000X
Foster Care Agency
Primary
—
—
Other
Enumeration date
08/27/2021
Last updated
08/27/2021
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