Provider Demographics
NPI:1831491125
Name:NORTH CANTON THERAPY WORKS, LLC
Entity Type:Organization
Organization Name:NORTH CANTON THERAPY WORKS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST
Authorized Official - Prefix:MS
Authorized Official - First Name:CYNTHIA
Authorized Official - Middle Name:
Authorized Official - Last Name:ZURBRUGG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:330-433-2688
Mailing Address - Street 1:1206 N MAIN ST
Mailing Address - Street 2:113-114
Mailing Address - City:NORTH CANTON
Mailing Address - State:OH
Mailing Address - Zip Code:44720-1926
Mailing Address - Country:US
Mailing Address - Phone:330-433-2688
Mailing Address - Fax:330-433-2689
Practice Address - Street 1:1206 N MAIN ST
Practice Address - Street 2:113-114
Practice Address - City:NORTH CANTON
Practice Address - State:OH
Practice Address - Zip Code:44720-1926
Practice Address - Country:US
Practice Address - Phone:330-433-2688
Practice Address - Fax:330-433-2689
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-19
Last Update Date:2010-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty