NPI 1043997125
Muir Wood LLC
Practice location
- Address
- 1733 Skillman Ln, Petaluma, CA 94952-1250
- Phone
- (310) 351-9588
- Mailing address
- 201 1st St STE 111, Petaluma, CA 94952-4291
Authorised official
- Name
- Bryan Bowen
- Title
- Chief Operating Officer
- Phone
- (415) 497-7722
Registered specialties (2)
Psychiatric Residential Treatment Facility
Primary
Children's Substance Abuse Rehabilitation Facility
Registry record
- NPI
- 1043997125
- Entity type
- Organization
- NPI issued
- 30 Jun 2023
- Record last updated
- 25 Sep 2025
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.