| Pace Juvenile Center | |
|
620 8th St Des Moines IA 50309-1539 | |
| (515) 697-5700 | |
| Not Available |
| Full Name | Pace Juvenile Center |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 620 8th St, Des Moines, Iowa |
| Authorized Official Name and Position | Valerie Saltsgaver (CFO) |
| Authorized Official Contact | 5152463501 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pace Juvenile Center 808 5th Ave Des Moines IA 50309-1315 Ph: () - | Pace Juvenile Center 620 8th St Des Moines IA 50309-1539 Ph: (515) 697-5700 |
| NPI Number | 1174513717 |
|---|---|
| Provider Enumeration Date | 10/25/2005 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174513717 | NPI | - | NPPES |
| 0074658 | Medicaid | IA | |
| 68230 | Other | IA | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
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