Organization
CENTERVILLE HOUSE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL JOHN HOLTSCHLAG (PRESIDENT)
(217) 228-9268
Entity
Organization
Contact information
Practice address
7 CENTERVILLE RD, HANNIBAL, MO 63401-6855
(573) 221-5222
Mailing address
3325 GHOST HOLLOW ROAD, QUINCY, IL 62305
(217) 228-9268
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
MO
Other
Enumeration date
04/17/2007
Last updated
08/22/2020
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