Organization · Type 2 NPI

Olive Crest

Emotionally Disturbed Childrens' Residential Treatment Facility · Santa Ana, CA

NPI number 1659878809 Active

Practice location

13442 Malena Dr
Santa Ana, CA 92705-1912

Call (714) 832-3629 Map

Fax (714) 731-4393

Mailing address

2130 E 4th St Ste 200
Santa Ana, CA 92705-3818

Specialties and licenses

Taxonomy	Code	License
Emotionally Disturbed Childrens' Residential Treatment Facility Primary	322D00000X	None listed

Emotionally Disturbed Childrens' Residential Treatment Facility: A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.

4 other providers at this address

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NPI record

NPI: 1659878809
Entity type: Organization (Type 2)
Issued: Apr 12, 2018
Last updated: Jun 4, 2021
Status: Active

Other names

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Cys Olive Crest Malena House · other name
Cys Olive Crest Malena House · other name

Authorized official

Mr. Donald A. Verleur, MBA
Chief Executive Officer
(714) 543-5437

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1659878809

Olive Crest's National Provider Identifier is 1659878809, issued on Apr 12, 2018. The primary taxonomy on file is Emotionally Disturbed Childrens' Residential Treatment Facility (322D00000X), and the practice location is in Santa Ana, CA. The record was last updated on Jun 4, 2021.