| Organization Name: | OLIVE CREST |
| NPI Number: | 1548393929 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | TINA MARIE CHANG (WRAPAROUND PROGRAM DIRECTOR) |
| Mailing Address: | 2130 E 4th St. Ste 200 Santa Ana |
| State: | CA US |
| Postal Code: | 92705 |
| Phone Number: | 7145435435 |
| Fax Number: | 7145435463 |
| NPI Enumeration Date: | 03/14/2007 |
| NPI Last Update Date: | 09/11/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251V00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Voluntary or Charitable |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |