NPI: 1306273636
Provider Name: MUIR WOOD LLC
Doing Business As: MUIR WOOD ADOLESCENT AND FAMILY SERVICES
Classification: Substance Abuse Rehabilitation Facility - 3245S0500X
Entity Type: Organization
Specialization: Substance Abuse Treatment, Children
CLIA Number: 05D2089303
Address:
1733 SKILLMAN LN
PETALUMA, CA
ZIP 94952
Phone: (855) 684-7966
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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 1306273636. The provider is registered as an organization entity type.
The provider Is Doing Business As Muir Wood Adolescent And Family Services.
The provider's business location address is:
1733 SKILLMAN LN
PETALUMA, CA
ZIP 94952-250
Phone: (855) 684-7966
Fax: (707) 559-5401
The provider's authorized official is Scott Sowle .
The authorized official title is Executive Director and has the following contact phone number (310) 903-1155.
The CLIA number assigned to this NPI record is 05D2089303 - other - residential treatment ctr with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 10/1/2013 and was last updated on 8/25/2020.