Provider Demographics
NPI:1720793599
Name:CYPRESS WELLNESS INC.
Entity Type:Organization
Organization Name:CYPRESS WELLNESS INC.
Other - Org Name:CYPRESS WELLNESS RETREAT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:BEVERLY
Authorized Official - Middle Name:BOTTOSTO
Authorized Official - Last Name:GALVIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-509-5300
Mailing Address - Street 1:186 ELAINE RD
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33413-2311
Mailing Address - Country:US
Mailing Address - Phone:561-509-5300
Mailing Address - Fax:561-812-2378
Practice Address - Street 1:180 ELAINE RD
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33413-2311
Practice Address - Country:US
Practice Address - Phone:561-509-5300
Practice Address - Fax:561-812-2378
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-17
Last Update Date:2023-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility