Organization · Type 2 NPI

Muir Wood LLC

Psychiatric Residential Treatment Facility · Clovis, CA

NPI number 1457038812 Active

Practice location

12808 Auberry Rd
Clovis, CA 93619-9639

Call (310) 903-1155 Map

Fax (707) 559-5401

Mailing address

201 1st St Ste 111
Petaluma, CA 94952-4291

Specialties and licenses

Taxonomy	Code	License
Psychiatric Residential Treatment Facility Primary	323P00000X	None listed
Children's Substance Abuse Rehabilitation Facility	3245S0500X	None listed

Psychiatric Residential Treatment Facility: A residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized psychotherapeutic interventions can take place. Residential treatment is a specific level of care to be differentiated from acute, intermediate, and long-term hospital car…

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NPI record

NPI: 1457038812
Entity type: Organization (Type 2)
Issued: Jun 28, 2023
Last updated: Sep 25, 2025
Status: Active
Subpart: Yes of Muir Wood LLC

Other names

Muir Wood Adolescent and Family Services · doing business as

Authorized official

Bryan Bowen, COO
Chief Operations Officer
(415) 497-7722

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1457038812

Muir Wood LLC's National Provider Identifier is 1457038812, issued on Jun 28, 2023. The primary taxonomy on file is Psychiatric Residential Treatment Facility (323P00000X), and the practice location is in Clovis, CA. The record was last updated on Sep 25, 2025.