Organization
MUIR WOOD, LLC.
Active
Parent organization
MUIR WOOD, LLC.
Other names
Muir Wood Adolescent and 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
320 WASHINGTON ST, PETALUMA, CA 94952-2955
(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
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
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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