NPI: 1235722059
Provider Name: MUIR WOOD LLC
Other Name: MUIR WOOD ADOLESCENT AND FAMILY SERVICES
Classification: Substance Abuse Rehabilitation Facility - 3245S0500X
Entity Type: Organization
Specialization: Substance Abuse Treatment, Children
Address:
402 REBECCA DR
PETALUMA, CA
ZIP 94952
Phone: (415) 497-7222
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MUIR WOOD LLC is a substance abuse treatment and children substance abuse rehabilitation facility in Petaluma, CA. The provider is a facility or distinct part of a facility for children that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included. MUIR WOOD LLC NPI is 1235722059. The provider is registered as an organization entity type.
The provider Other Name Is Muir Wood Adolescent And Family Services.
The provider's business location address is:
402 REBECCA DR
PETALUMA, CA
ZIP 94952-784
Phone: (415) 497-7222
The provider's authorized official is Bryan Bowen .
The authorized official title is Chief Operating Officer and has the following contact phone number (415) 497-7722.
The enumeration date for this NPI number is 2/12/2021 and was last updated on 5/17/2021.