Organization
ONE DIRECTION FORWARD INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KENNETH SIMPSON SR. MSW (CEO)
(773) 742-8053
Entity
Organization
Contact information
Practice address
4747 LINCOLN MALL DR STE 412, MATTESON, IL 60443-3821
(708) 300-6977
Mailing address
4747 LINCOLN MALL DR STE 412, MATTESON, IL 60443-3821
(708) 300-6977
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
A-3826-0001-A
IL
Other
Enumeration date
12/22/2015
Last updated
12/22/2015
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