MUIR WOOD LLC. NPI 1801462262

NPI Information

  • NPI: 1801462262
  • Provider Name: MUIR WOOD, LLC.
  • Classification: Substance Abuse Rehabilitation Facility - 3245S0500X
  • Specialization: Substance Abuse Treatment, Children
  • Entity Type: Organization
  • Address: 621 HANNAN RANCH LN
    PETALUMA, CA
    ZIP 94952
  • Phone: (415) 497-7722

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NPI Details

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 1801462262. The provider is registered as an organization entity type.

The provider's business location address is:

621 HANNAN RANCH LN
PETALUMA, CA
ZIP 94952-135
Phone: (415) 497-7722

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 5/27/2021 and was last updated on 5/27/2021.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
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 Identifier Other Provider Identifier Type Other Provider Identifier State Other 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: 3/30/2025

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