| One Direction Forward Inc. | |
|
4747 Lincoln Mall Dr Ste 412 Matteson IL 60443-3821 | |
| (708) 300-6977 | |
| Not Available |
| Full Name | One Direction Forward Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 4747 Lincoln Mall Dr Ste 412, Matteson, Illinois |
| Authorized Official Name and Position | Kenneth Simpson (CEO) |
| Authorized Official Contact | 7737428053 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| One Direction Forward Inc. 4747 Lincoln Mall Dr Ste 412 Matteson IL 60443-3821 Ph: (708) 300-6977 | One Direction Forward Inc. 4747 Lincoln Mall Dr Ste 412 Matteson IL 60443-3821 Ph: (708) 300-6977 |
| NPI Number | 1215392931 |
|---|---|
| Provider Enumeration Date | 12/22/2015 |
| Last Update Date | 12/22/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215392931 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | A-3826-0001-A (Illinois) | Primary |
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