MEDICARE: CYPRESS CREEK TREATMENT CENTER LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YA0400X	Addiction (Substance Use Disorder) Counselor

General Provider Information

NPI Number	:	1821926361
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CYPRESS CREEK TREATMENT CENTER LLC

Provider Business Mailing Address
First Line	:	470 SOUTH ANDREWS AVENUE
Second Line	:	SUITE 206
City	:	POMPANO BEACH
State	:	FL
Zip	:	33069-3537
Country	:	US
Telephone Number	:	305-927-9960
Fax Number	:	305-927-9960

Provider Business Practice Location Address
First Line	:	470 S ANDREWS AVE STE 206
Second Line	:
City	:	POMPANO BEACH
State	:	FL
Zip	:	33069-3537
Country	:	US
Telephone Number	:	305-927-9960
Fax Number	:	305-927-9960

Authorized Official
Title or Position	:	CEO
Name	:	MR. RITVIK RATURI
Credential	:	ESQ
Telephone Number	:	305-927-9960

Provider Enumeration Date	:	05/13/2026
Last Update Date	:	05/13/2026

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