| Muir Wood, Llc. | |
|
320 Washington St Petaluma CA 94952-2955 | |
| (415) 497-7722 | |
| Not Available |
| Full Name | Muir Wood, Llc. |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 320 Washington St, Petaluma, California |
| Authorized Official Name and Position | Bryan Bowen (CHIEF OPERATING OFFICER) |
| Authorized Official Contact | 4154977722 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Muir Wood, Llc. 201 1st St Ste 111 Petaluma CA 94952-4291 Ph: (415) 497-7722 | Muir Wood, Llc. 320 Washington St Petaluma CA 94952-2955 Ph: (415) 497-7722 |
| NPI Number | 1962016733 |
|---|---|
| Provider Enumeration Date | 08/31/2020 |
| Last Update Date | 09/25/2025 |
| Certification Date | 09/25/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962016733 | NPI | - | NPPES |
| 422794167 | Other | CA | COMMERCIAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
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