NPI 1033157748

Chaddock

Organisation Mental Illness Community Based Residential Treatment Facility Quincy, IL

Practice location

Address: 205 S 24th St, Quincy, IL 62301-4446
Phone: (217) 222-0034
Fax: (217) 222-3865

Authorised official

Name: Kristen Patton
Title: Director of Finance
Phone: (217) 592-0317

Registered specialties (2)

Mental Illness Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320800000X Licence 004049-10 (IL)

Other Community Based Residential Treatment Facility, Mental Illness providers in Illinois →

Mental Illness Community Based Residential Treatment Facility

Residential Treatment Facilities Taxonomy 320800000X Licence 308658-03 (IL)

Registry record

NPI: 1033157748
Entity type: Organization
NPI issued: 3 Jun 2006
Record last updated: 22 Jun 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.