One Direction Forward Inc.

NPI #1982340220 in Matteson, Illinois

Provider Information

NPI Number: 1982340220
Entity Type: Organization
Organization Name: One Direction Forward Inc.
Primary Specialty: Clinic/Center - Adult Mental Health
Enumeration Date: May 10, 2022
Last Updated: May 10, 2022

Practice Location

Address: 4747 LINCOLN MALL DR STE 412
City: Matteson
State: Illinois
ZIP Code: 60443-3821
Phone: (708) 300-6977

Authorized Official

Name: MR. KENNETH SIMPSON SR., LCSW
Title: CEO
Phone: (708) 300-6977

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Adolescent and Children Mental Health — Adolescent and Children Mental Health	261QM0855X
Clinic/Center - Adult Mental Health — Adult Mental Health	261QM0850X	Primary

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