Cys Olive Crest Wraparound

LBN: Olive Crest
Cys Olive Crest Wraparound is an health care organization with primary practice located at 2130 E 4Th St. Ste 200, Santa Ana CA 92705. The organization recently has 2 registered licenses in different health care specialties including Agencies / Community/Behavioral Health, Agencies / Voluntary or Charitable. Agencies / Community/Behavioral Health is the primary health care specialty. Olive Crest can be contacted via phone (714) 543-5437, or through Verleur, Donald A. via phone (714) 543-5437.

Contact Information

Primary practice address
2130 E 4Th St. Ste 200 Santa Ana CA 92705
Phone: (714) 543-5437
Fax: (714) 543-5463
Website:
Map and Directions
Authorized official contact:
Name: Verleur, Donald A. MBA
Phone: (714) 543-5437

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X
Agencies / Voluntary or Charitable 251V00000X

Profile Details

NPI number 1548393929
LBN Legal business name Olive Crest
DBA Doing business as Cys Olive Crest Wraparound
Authorized official Verleur, Donald A. MBA
Entity Organization
Organization subpart 1 No
Enumeration date Mar 14th, 2007
Last updated Jun 4th, 2021 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1548393929 NPPES
California MEDICAID 30AU

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