| One Direction Forward Inc. | |
|
4747 Lincoln Mall Dr Ste 412 Matteson IL 60443-3821 | |
| (708) 300-6977 | |
| (708) 300-6978 |
| Full Name | One Direction Forward Inc. |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 4747 Lincoln Mall Dr Ste 412, Matteson, Illinois |
| Authorized Official Name and Position | Kenneth Simpson (CEO) |
| Authorized Official Contact | 7083006977 |
| 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 | 1982340220 |
|---|---|
| Provider Enumeration Date | 05/10/2022 |
| Last Update Date | 05/10/2022 |
| Certification Date | 05/10/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982340220 | NPI | - | NPPES |
| 1215392931 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Secondary |
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Mays And Associates, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4440 Lincoln Hwy, Suite 100, Matteson, IL 60443 Phone: 708-248-5983 Fax: 708-856-0312 | |
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One Direction Forward Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4747 Lincoln Mall Dr Ste 412, Matteson, IL 60443 Phone: 708-300-6977 |