Organization
MUIR WOOD LLC
Active
Other names
Muir Wood Adolescent and Family Services
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRYAN BOWEN (COO)
(415) 497-7722
Entity
Organization
Contact information
Practice address
1733 SKILLMAN LN, PETALUMA, CA 94952-1250
(855) 684-7966
(707) 559-5401
Mailing address
201 1ST ST STE 111, PETALUMA, CA 94952-4291
(855) 684-7966
(707) 781-4276
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
—
—
3245S0500X
Children's Substance Abuse Rehabilitation Facility
496803428
CA
Other
Enumeration date
10/01/2013
Last updated
09/25/2025
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