Organization
ORCHARD PLACE
Active
Other names
PACE Juvenile Center
Organization subpart
No
Provider details
NPI number
Authorized official
VALERIE SALTSGAVER (CFO)
(515) 246-3501
Entity
Organization
Contact information
Practice address
620 8TH ST, DES MOINES, IA 50309-1539
(515) 697-5700
Mailing address
808 5TH AVE, DES MOINES, IA 50309-1315
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0074658
—
IA
01
—
68230
BLUE CROSS BLUE SHIELD
IA
Enumeration date
10/25/2005
Last updated
08/22/2020
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