Olive Crest Group

NPI 1093896268 - Counselor - 101YM0800X

NPI Details
NPI 1093896268
Enumeration Date 10/17/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name NANCY ANN NANCY
Position TREATMENT COORDINATOR
Phone (951) 686-8500
Fax (951) 686-8565
Practice Location
3050 CHICAGO AVE
RIVERSIDE CA, 92507-3418, US
Phone (951) 686-8500
Fax (951) 686-8565
Business Location
190 N ROSE BLOSSOM LN
ANAHEIM CA, 92807-3245, US
Phone (714) 287-5030
Fax
Toxanomy
Taxonomy Code 101YM0800X
License State California
License Number 48122
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According to our database, Olive Crest Group NPI is 1093896268, taxonomy code is 101YM0800X and license number is 48122, license state is located at California. Olive Crest Group physically located at 3050 Chicago Ave, Riverside CA, 92507-3418. NPI Number 1033115704 has the healthcare provider type.

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1093896268 NPI number is provided on an as is basis without warranty of any kind. 1093896268 is maintained by the National Plan & Provider Enumeration System. The contents of Olive Crest Group are for informational purposes only.