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MUIR WOOD LLC NPI 1417461955


NPI Information

NPI: 1417461955
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

Address:
343 HAVERFIELD LN
PETALUMA, CA
ZIP 94952
Phone: (415) 299-6268
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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 1417461955. 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:

343 HAVERFIELD LN
PETALUMA, CA
ZIP 94952-872
Phone: (415) 299-6268

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 enumeration date for this NPI number is 11/20/2017 and was last updated on 8/25/2020.


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, Children496803428CALIFORNIAYes

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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