Organization
CHADDOCK ATTACHMENT AND TRAUMA SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTEN PATTON (CHIEF FINANCIAL OFFICER)
(217) 592-0317
Entity
Organization
Contact information
Practice address
205 S 24TH ST, QUINCY, IL 62301-4446
(217) 222-0034
(217) 222-3865
Mailing address
205 S 24TH ST, QUINCY, IL 62301-4446
(217) 222-0034
(217) 222-3865
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
—
Other
Enumeration date
07/01/2025
Last updated
07/01/2025
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