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Chaddock
Mental Health Clinic/Center (Including Community Mental Health Center) in Quincy, Illinois
NPI 1093063208

Chaddock is a Mental Health Clinic/Center (Including Community Mental Health Center) based in Quincy, IL and is specialized in Mental Health (Including Community Mental Health Center). Chaddock practices in Quincy, IL. The NPI Number for Chaddock is 1093063208 and holds a License No. 004048-12 (Illinois).

The current practice location address for Chaddock is 921 N 24Th St, Quincy, IL and can be reached out via phone at 217-222-0034 and via fax at 217-222-0253.

Location: 921 N 24Th St, Quincy, IL, 62301-4446
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1093063208
Provider Name
Chaddock
Credential
Provider Entity Type
Organization
Address
921 N 24Th St, Quincy, IL, 62301-4446
Phone Number
217-222-0034
Fax Number
217-222-0253
Provider Enumeration Date
08/17/2012
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
#3A00-IPI-019 05 IL
institution
Provider Business Practice Location Address Details
Address
921 N 24Th St
City
Quincy
State
Illinois
Zip
62301-2267
Phone Number
217-222-0034
Fax Number
217-222-0253
person
Provider Business Mailing Address Details
Address
921 N 24Th St
City
Quincy
State
Illinois
Zip
62301-2267
Phone Number
217-222-0034
Fax Number
217-222-0253
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Foster Care Agency
Speciality
-
Taxonomy
253J00000X
License No.
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Definition
A Foster Care Agency is an agency that provides foster care as defined in the Code of Federal Regulations (CFR) as "24-hour substitute care for children outside their own homes." Foster care settings include, but are not limited to, nonrelative foster family homes, relative foster homes (whether payments are being made or not), group homes, emergency shelters, residential facilities, and pre-adoptive homes.
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
261QM0801X
License No.
004048-12 (Illinois)
Definition
Definition to come...
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