I found this after a little more digging.
’ADT Security was first called The American District Telegraph (ADT) Company. It was established in 1874 with the installation of telegraphic call boxes in the homes or offices of subscribers.
The call box brought a messenger to the subscriber’s premises to collect a message to be sent by telegraph. Messengers often performed other errands too. This service was soon refined to a security service and ADT Fire & Security was born. This subsequently lead to the development of ADT security alarm systems.'
I think after Dean’s addition, (thank you sir) - It might be a station or call box key. The earliest boxes all seem to have a permenant hand crank to dial in the sending codes. I would guess this to be a little later of date, and/or made for a more authoritative box location or controler.