The Tabor Therapy Group, Inc.

NPI #1194360164 in Mchenry, Illinois

Provider Information

NPI Number: 1194360164
Entity Type: Organization
Organization Name: The Tabor Therapy Group, Inc.
Primary Specialty: Clinic/Center - Adolescent and Children Mental Health
Enumeration Date: Nov 13, 2019
Last Updated: May 3, 2022

Practice Location

Address: 5404 W ELM ST STE H
City: Mchenry
State: Illinois
ZIP Code: 60050-4007
Phone: (815) 331-8768

Authorized Official

Name: ELLIOTT RICHELSON, M.D.
Title: CHIEF MEDICAL OFFICER
Phone: (941) 444-1730

Specialties & Taxonomy Codes

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

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