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Organization
MUIR WOOD, LLC.
Active
Organization
MUIR WOOD, LLC.
Active
Parent organization
MUIR WOOD, LLC.
Other names
Muir Wood Adolescent Family Services
Organization subpart
Yes
Provider details
NPI number
Legal business name
MUIR WOOD, LLC.
Authorized official
BRYAN BOWEN (CHIEF OPERATING OFFICER)
(415) 497-7722
Entity
Organization
Contact information
Practice address
1743 SKILLMAN LANE, PETALUMA, CA 94952-9495
(415) 497-7722
Mailing address
201 1ST ST STE 111, PETALUMA, CA 94952-4291
(415) 497-7722
(707) 781-4276
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
—
—
3245S0500X
Children's Substance Abuse Rehabilitation Facility
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
422794167
COMMERCIAL
CA
Enumeration date
08/31/2020
Last updated
09/25/2025
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