Provider Demographics
NPI:1225220593
Name:DIRECTIONS OFFENDER SERVICES, INC.
Entity Type:Organization
Organization Name:DIRECTIONS OFFENDER SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO,PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:RANDALL
Authorized Official - Middle Name:KENNETH
Authorized Official - Last Name:SHEARS
Authorized Official - Suffix:
Authorized Official - Credentials:CCDC1
Authorized Official - Phone:419-864-0023
Mailing Address - Street 1:104 W. MAIN ST.
Mailing Address - Street 2:PO BOX 254
Mailing Address - City:CARDINGTON
Mailing Address - State:OH
Mailing Address - Zip Code:43315
Mailing Address - Country:US
Mailing Address - Phone:419-864-0023
Mailing Address - Fax:
Practice Address - Street 1:104 W MAIN ST
Practice Address - Street 2:
Practice Address - City:CARDINGTON
Practice Address - State:OH
Practice Address - Zip Code:43315-1009
Practice Address - Country:US
Practice Address - Phone:419-864-0023
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-10
Last Update Date:2007-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Single Specialty