# CHADDOCK ATTACHMENT AND TRAUMA SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1639068984
- **Authorized official:** KRISTEN PATTON (CHIEF FINANCIAL OFFICER)
- **Authorized official phone:** (217) 592-0317

## Contact information

- **Practice address:** 205 S 24TH ST, QUINCY, IL 62301-4446
- **Practice address phone:** (217) 222-0034
- **Practice address fax:** (217) 222-3865
- **Mailing address:** 205 S 24TH ST, QUINCY, IL 62301-4446
- **Mailing address phone:** (217) 222-0034
- **Mailing address fax:** (217) 222-3865

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 07/01/2025
- **Last updated:** 07/01/2025