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MUIR WOOD LLC NPI 1235722059


NPI Information

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.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
13245S0500XSubstance Abuse Rehabilitation FacilitySubstance Abuse Treatment, ChildrenYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1422794167OTHERCALIFORNIACOMMERCIAL

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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