| Muir Wood, Llc. | |
|
501 Sonoma Mountain Rd Petaluma CA 94954-9558 | |
| (415) 497-7722 | |
| Not Available |
| Full Name | Muir Wood, Llc. |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 501 Sonoma Mountain Rd, Petaluma, 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. 501 Sonoma Mountain Rd Petaluma CA 94954-9558 Ph: (415) 497-7722 |
| NPI Number | 1689302937 |
|---|---|
| Provider Enumeration Date | 08/12/2022 |
| Last Update Date | 08/12/2022 |
| Certification Date | 08/12/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689302937 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
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