| Olive Crest | |
|
4285 N Rancho Dr Ste 160 Las Vegas NV 89130-3456 | |
| (702) 685-3459 | |
| (702) 851-8528 |
| Full Name | Olive Crest |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 4285 N Rancho Dr Ste 160, Las Vegas, Nevada |
| Authorized Official Name and Position | Donald A. Verleur (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 7145435437 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Olive Crest 2130 E 4th St Ste 200 Santa Ana CA 92705-3818 Ph: (714) 543-5437 | Olive Crest 4285 N Rancho Dr Ste 160 Las Vegas NV 89130-3456 Ph: (702) 685-3459 |
| NPI Number | 1396950374 |
|---|---|
| Provider Enumeration Date | 05/11/2007 |
| Last Update Date | 04/11/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396950374 | NPI | - | NPPES |
| 100508326 | Medicaid | NV | |
| 100508325 | Medicaid | NV | |
| 100508320 | Medicaid | NV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (Nevada) | Primary |
| 253J00000X | Foster Care Agency | (Nevada) | Secondary |
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