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Organization
MUIR WOOD, LLC.
Active
Organization
MUIR WOOD, LLC.
Active
Other names
Muir Wood Adolescent and Family Services
Organization subpart
No
Provider details
NPI number
Authorized official
BRYAN BOWEN (CHIEF OPERATING OFFICER)
(415) 497-7722
Entity
Organization
Contact information
Practice address
621 HANNAN RANCH LN, PETALUMA, CA 94952-8135
(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
05/27/2021
Last updated
09/25/2025
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