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
402 REBECCA DR, PETALUMA, CA 94952-1784
(415) 497-7222
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
02/12/2021
Last updated
09/25/2025
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