| Muir Wood, Llc. | |
|
6851 Cold Springs Rd Penngrove CA 94951-9722 | |
| (415) 497-7722 | |
| Not Available |
| Full Name | Muir Wood, Llc. |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 6851 Cold Springs Rd, Penngrove, California |
| Authorized Official Name and Position | Bryan Bowen (COO) |
| Authorized Official Contact | 4154977722 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Muir Wood, Llc. 1733 Skillman Ln Petaluma CA 94952-1250 Ph: () - | Muir Wood, Llc. 6851 Cold Springs Rd Penngrove CA 94951-9722 Ph: (415) 497-7722 |
| NPI Number | 1487382743 |
|---|---|
| Provider Enumeration Date | 08/12/2022 |
| Last Update Date | 08/12/2022 |
| Certification Date | 08/12/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487382743 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |