Organization
TIME OUT THERAPY SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARIA O TOPPS MS (PROGRAM COORDINATOR)
(630) 417-7555
Entity
Organization
Contact information
Practice address
1770 S RANDALL RD, A208, GENEVA, IL 60134-4646
(630) 896-2617
(630) 896-2617
Mailing address
1770 S RANDALL RD, A208, GENEVA, IL 60134-4646
(630) 896-2617
(630) 896-2617
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/08/2008
Last updated
02/08/2008
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