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Muir Wood Llc
Children's Substance Abuse Rehabilitation Facility in Petaluma, California
NPI 1235722059

Muir Wood Llc is a Children's Substance Abuse Rehabilitation Facility based in Petaluma, CA and is specialized in Substance Abuse Treatment, Children. Muir Wood Llc practices in Petaluma, CA. The NPI Number for Muir Wood Llc is 1235722059 and holds a License No. (California).

The current practice location address for Muir Wood Llc is 402 Rebecca Dr, Petaluma, CA and can be reached out via phone at 415-497-7222.

Location: 402 Rebecca Dr, Petaluma, CA, 94952-1250
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1235722059
Provider Name
Muir Wood Llc
Credential
Provider Entity Type
Organization
Address
402 Rebecca Dr, Petaluma, CA, 94952-1250
Phone Number
415-497-7222
Fax Number
Provider Enumeration Date
02/12/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
422794167 01 CA COMMERCIAL
institution
Provider Business Practice Location Address Details
Address
402 Rebecca Dr
City
Petaluma
State
California
Zip
94952-1784
Phone Number
415-497-7222
Fax Number
person
Provider Business Mailing Address Details
Address
402 Rebecca Dr
City
Petaluma
State
California
Zip
94952-1784
Phone Number
415-497-7222
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
Substance Abuse Treatment, Children
Taxonomy
3245S0500X
License No.
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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.
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