Organization
CHADDOCK ATTACHMENT AND TRAUMA SERVICES
Active
Organization
CHADDOCK ATTACHMENT AND TRAUMA SERVICES
Active
Parent organization
CHADDOCK ATTACHMENT AND TRAUMA SERVICES
Organization subpart
Yes
Provider details
NPI number
Legal business name
CHADDOCK ATTACHMENT AND TRAUMA SERVICES
Authorized official
KRISTEN PATTON (DIRECTOR OF FINANCE)
(217) 592-0317
Entity
Organization
Contact information
Practice address
100 W BUCHANAN ST, CARTHAGE, IL 62321-1249
(217) 222-0034
Mailing address
205 S 24TH ST, QUINCY, IL 62301-4446
(217) 222-0034
(217) 222-3865
Taxonomy
Speciality
Code
Description
License number
State
253J00000X
Foster Care Agency
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3A00-IPI-019
—
IL
Enumeration date
09/25/2023
Last updated
09/25/2023
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