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Olive Crest

Community/Behavioral Health in Palm Desert, CA. Organization (NPI-2).

NPI number1104494814
StatusActive
Last updated in NPPESDec 15, 2023

Details

NPI
1104494814
Entity type
Organization (NPI-2)
Legal business name
Olive Crest
Organization subpart
No
Enumeration date
Jun 17, 2021
Certification date
Dec 15, 2023
Last updated
Dec 15, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251S00000X Community/Behavioral Health––Yes

Practice location

39830 Portola Ave
Palm Desert, CA 92260-0623

Phone 951-686-8500

Mailing address

2130 E 4th St
Santa Ana, CA 92705-3818

Phone 714-543-5437

Authorized official

Donald Verleur
Chief Executive Officer
7145435437

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