MUIR WOOD, LLC.


Address: 1743 Skillman Lane, Petaluma, CA 94952-9495
Phone: 4154977722

MUIR WOOD, LLC. (NPI# 1720692577) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1720692577
Entity Type Organization
Organization Name MUIR WOOD, LLC.
Practice Address 1743 Skillman Lane
Petaluma
CA 94952-9495
Mailing Address 1733 Skillman Ln
Petaluma
CA 94952-1250
Practice Telephone 4154977722
Mailing Telephone 4154977722
Enumeration Date 2020-08-31
Last Update Date 2020-08-31
Authorized Official Name BRYAN BOWEN (CHIEF OPERATING OFFICER)
Authorized Official Telephone 4154977722
Is Organization Subpart Y
Parent Organization Name MUIR WOOD, LLC.

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 3245S0500X Substance Abuse Rehabilitation Facility
Specialization: Substance Abuse Treatment, Children
Residential Treatment Facilities

Other Provider Identifier

State Issuer Identifier Type Code
CA COMMERCIAL 422794167 01

Other Provider/Organization Names

Other Name Type Code
Muir Wood Adolescent Family Services Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1962016733 Muir Wood, LLC. Substance Abuse Rehabilitation Facility 320 Washington St, Petaluma, CA 94952-2955 2020-08-31

Office Location

Street Address 1743 SKILLMAN LANE
City PETALUMA
State CA
Zip Code 94952-9495

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1114587680 Benjamin R Idarius Behavior Technician 101 H St. Ste. L, Petaluma, CA 94952 2019-06-17
1518457159 Kyleen Joan Romero Behavioral Analyst 25 Graylawn Ave, Petaluma, CA 94952 2018-05-17
1437647526 John Scruggs Behavior Technician 301 H St. Suit L, Petaluma, CA 94952 2018-04-25
1811404684 Brief and Strategic Counseling Service Counselor 843 Chardonnay Cir., Petaluma, CA 94952 2018-01-03
1730638396 Jennifer Lee Sloan Acupuncturist 517 Hayes Lane, Petaluma, CA 94952 2016-09-23
1982057295 Elene Hwa-yihg Chung Acupuncturist 130 Graylawn Ave.,#f, Petaluma, CA 94952 2016-07-21
1457773624 Lisa Hirsch Cordeiro Marriage & Family Therapist 700 Sixth Street, Petaluma, CA 94952 2014-01-07
1811271075 Jacques Philippe Archer Massage Therapist 131b Kentucky St., Petaluma, CA 94952 2011-10-06
1477841609 Karna Licia Dawson Social Worker 205 Keller St., Petaluma, CA 94952 2011-07-21
1497051783 Melissa Beth Wilson Acupuncturist 155a Kentucky Street, Petaluma, CA 94952 2011-02-03
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Taxonomy Information

Taxonomy Code 3245S0500X
Grouping Residential Treatment Facilities
Classification Substance Abuse Rehabilitation Facility
Specialization Substance Abuse Treatment, Children

Taxonomy Definition

A facility or distinct part of a facility 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.
Notes: [7/1/2003: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1780282988 Muir Wood LLC Substance Abuse Rehabilitation Facility 2891 I Street Ext, Petaluma, CA 94952-9521 2020-10-12
1417461955 Muir Wood LLC Substance Abuse Rehabilitation Facility 343 Haverfield Ln, Petaluma, CA 94952-1872 2017-11-20
1962016733 Muir Wood, LLC. Substance Abuse Rehabilitation Facility 320 Washington St, Petaluma, CA 94952-2955 2020-08-31
1306273636 Muir Wood LLC Substance Abuse Rehabilitation Facility 1733 Skillman Ln, Petaluma, CA 94952-1250 2013-10-01

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1689275620 Monroe Operations, LLC Substance Abuse Rehabilitation Facility 80 W Nicasio, San Geronimo, CA 94963 2020-11-05
1013518042 Monroe Operations, LLC Substance Abuse Rehabilitation Facility 1208 Via Aracena, Camarillo, CA 93010-7440 2020-11-05
1609477645 Monroe Operations, LLC Substance Abuse Rehabilitation Facility 1850 Calle Alberca, Camarillo, CA 93010-1811 2020-11-05
1467053736 Monroe Operations, LLC Substance Abuse Rehabilitation Facility 615 Bugeia Ln, Novato, CA 94945-1517 2020-11-04
1376144642 Monroe Operations, LLC Substance Abuse Rehabilitation Facility 100 Avocado Pl, Camarillo, CA 93010-8467 2020-11-04
1285235556 Monroe Operations, LLC Substance Abuse Rehabilitation Facility 7210 Johnston Rd, Pleasanton, CA 94588-9466 2020-11-04
1598376816 Muir Wood LLC Substance Abuse Rehabilitation Facility 6868 Cold Springs Rd, Penngrove, CA 94951-9722 2020-08-11
1770194060 Monroe Operations, LLC Substance Abuse Rehabilitation Facility 195 S Peralta Hills Dr, Anaheim, CA 92807-3424 2020-08-11
1477161149 Asian American Drug Abuse Program, Inc Substance Abuse Rehabilitation Facility 4625 Crenshaw Blvd, Los Angeles, CA 90043-1209 2020-07-20
1427671882 Dhhs Ihs Cao Sacred Oaks Healing Center Substance Abuse Rehabilitation Facility 33100 County Road 31, Davis, CA 95616 2020-05-20
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Competitor

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City PETALUMA
Zip Code 94952

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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