Olive Crest
Community/Behavioral Health in Palm Desert, CA. Organization (NPI-2).
NPI number1053861450
StatusActive
Last updated in NPPESNov 15, 2023
Details
- NPI
- 1053861450
- Entity type
- Organization (NPI-2)
- Legal business name
- Olive Crest
- Organization subpart
- No
- Enumeration date
- Oct 10, 2016
- Certification date
- Nov 15, 2023
- Last updated
- Nov 15, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health | 57111 | CA | Yes |
Practice location
39820 Portola AvePalm Desert, CA 92260-0622
Phone 760-341-8507 · Fax 760-341-8613
Mailing address
2130 E 4th St Ste 200Santa Ana, CA 92705-3818
Phone 714-543-5437 · Fax 714-543-5463
Authorized official
Donald A Verleur
Chief Executive Officer
7145435437
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