Voyage Recovery Center provides addiction rehabilitation treatment for young adult men with substance use disorders, and intensive family programming in Hobe Sound, Florida. CALL (772) 245-8345. Visit: https://www.voyagerecovery.com/
BrightStar provides homecare, including elder care, childcare and qualified caregivers along with medical staffing solutions in Oak Brook, IL. From childcare to elder care, the Oak Brook BrightStar team is available to you 24 hours a day, 7 days a week. Proudly Serving Southeast DuPage County, including Burr Ridge, Clarendon Hills, Darien, Downers Grove, Elmhurst, Hinsdale, Lemont, Oak Brook, Oakbrook Terrace, Villa Park, Westmont, and Willowbrook.
Voyage Recovery Center provides addiction rehabilitation treatment for young adult men with substance use disorders, and intensive family programming in Hobe Sound, Florida. CALL (772) 245-8345. Visit: https://www.voyagerecovery.com/
BrightStar provides homecare, including elder care, childcare and qualified caregivers along with medical staffing solutions in Oak Brook, IL. From childcare to elder care, the Oak Brook BrightStar team is available to you 24 hours a day, 7 days a week. Proudly Serving Southeast DuPage County, including Burr Ridge, Clarendon Hills, Darien, Downers Grove, Elmhurst, Hinsdale, Lemont, Oak Brook, Oakbrook Terrace, Villa Park, Westmont, and Willowbrook.
Our Vision for Patients
Educated, engaged and empowered patients actively managing their health and becoming advocates for healthy living within their family and the community, inspiring
others to value that good health is true wealth.
Our Vision for Patients
Educated, engaged and empowered patients actively managing their health and becoming advocates for healthy living within their family and the community, inspiring
others to value that good health is true wealth.
Health Education on prevention of hypertensionRadhika kulvi
Hypertension is a chronic condition of concern due to its role in the causation of coronary heart diseases. Hypertension is a worldwide epidemic and important risk factor for coronary artery disease, stroke and renal diseases. Blood pressure is the force exerted by the blood against the walls of the blood vessels and is sufficient to maintain tissue perfusion during activity and rest. Hypertension is sustained elevation of BP. In adults, HTN exists when systolic blood pressure is equal to or greater than 140mmHg or diastolic BP is equal to or greater than 90mmHg. The
One of the most developed cities of India, the city of Chennai is the capital of Tamilnadu and many people from different parts of India come here to earn their bread and butter. Being a metropolitan, the city is filled with towering building and beaches but the sad part as with almost every Indian city
Defecation
Normal defecation begins with movement in the left colon, moving stool toward the anus. When stool reaches the rectum, the distention causes relaxation of the internal sphincter and an awareness of the need to defecate. At the time of defecation, the external sphincter relaxes, and abdominal muscles contract, increasing intrarectal pressure and forcing the stool out
The Valsalva maneuver exerts pressure to expel faeces through a voluntary contraction of the abdominal muscles while maintaining forced expiration against a closed airway. Patients with cardiovascular disease, glaucoma, increased intracranial pressure, or a new surgical wound are at greater risk for cardiac dysrhythmias and elevated blood pressure with the Valsalva maneuver and need to avoid straining to pass the stool.
Normal defecation is painless, resulting in passage of soft, formed stool
CONSTIPATION
Constipation is a symptom, not a disease. Improper diet, reduced fluid intake, lack of exercise, and certain medications can cause constipation. For example, patients receiving opiates for pain after surgery often require a stool softener or laxative to prevent constipation. The signs of constipation include infrequent bowel movements (less than every 3 days), difficulty passing stools, excessive straining, inability to defecate at will, and hard feaces
IMPACTION
Fecal impaction results from unrelieved constipation. It is a collection of hardened feces wedged in the rectum that a person cannot expel. In cases of severe impaction the mass extends up into the sigmoid colon.
DIARRHEA
Diarrhea is an increase in the number of stools and the passage of liquid, unformed feces. It is associated with disorders affecting digestion, absorption, and secretion in the GI tract. Intestinal contents pass through the small and large intestine too quickly to allow for the usual absorption of fluid and nutrients. Irritation within the colon results in increased mucus secretion. As a result, feces become watery, and the patient is unable to control the urge to defecate. Normally an anal bag is safe and effective in long-term treatment of patients with fecal incontinence at home, in hospice, or in the hospital. Fecal incontinence is expensive and a potentially dangerous condition in terms of contamination and risk of skin ulceration
HEMORRHOIDS
Hemorrhoids are dilated, engorged veins in the lining of the rectum. They are either external or internal.
FLATULENCE
As gas accumulates in the lumen of the intestines, the bowel wall stretches and distends (flatulence). It is a common cause of abdominal fullness, pain, and cramping. Normally intestinal gas escapes through the mouth (belching) or the anus (passing of flatus)
FECAL INCONTINENCE
Fecal incontinence is the inability to control passage of feces and gas from the anus. Incontinence harms a patient’s body image
PREPARATION AND GIVING OF LAXATIVESACCORDING TO POTTER AND PERRY,
An enema is the instillation of a solution into the rectum and sig
Telehealth Psychology Building Trust with Clients.pptxThe Harvest Clinic
Telehealth psychology is a digital approach that offers psychological services and mental health care to clients remotely, using technologies like video conferencing, phone calls, text messaging, and mobile apps for communication.
Navigating Challenges: Mental Health, Legislation, and the Prison System in B...Guillermo Rivera
This conference will delve into the intricate intersections between mental health, legal frameworks, and the prison system in Bolivia. It aims to provide a comprehensive overview of the current challenges faced by mental health professionals working within the legislative and correctional landscapes. Topics of discussion will include the prevalence and impact of mental health issues among the incarcerated population, the effectiveness of existing mental health policies and legislation, and potential reforms to enhance the mental health support system within prisons.
CHAPTER 1 SEMESTER V - ROLE OF PEADIATRIC NURSE.pdfSachin Sharma
Pediatric nurses play a vital role in the health and well-being of children. Their responsibilities are wide-ranging, and their objectives can be categorized into several key areas:
1. Direct Patient Care:
Objective: Provide comprehensive and compassionate care to infants, children, and adolescents in various healthcare settings (hospitals, clinics, etc.).
This includes tasks like:
Monitoring vital signs and physical condition.
Administering medications and treatments.
Performing procedures as directed by doctors.
Assisting with daily living activities (bathing, feeding).
Providing emotional support and pain management.
2. Health Promotion and Education:
Objective: Promote healthy behaviors and educate children, families, and communities about preventive healthcare.
This includes tasks like:
Administering vaccinations.
Providing education on nutrition, hygiene, and development.
Offering breastfeeding and childbirth support.
Counseling families on safety and injury prevention.
3. Collaboration and Advocacy:
Objective: Collaborate effectively with doctors, social workers, therapists, and other healthcare professionals to ensure coordinated care for children.
Objective: Advocate for the rights and best interests of their patients, especially when children cannot speak for themselves.
This includes tasks like:
Communicating effectively with healthcare teams.
Identifying and addressing potential risks to child welfare.
Educating families about their child's condition and treatment options.
4. Professional Development and Research:
Objective: Stay up-to-date on the latest advancements in pediatric healthcare through continuing education and research.
Objective: Contribute to improving the quality of care for children by participating in research initiatives.
This includes tasks like:
Attending workshops and conferences on pediatric nursing.
Participating in clinical trials related to child health.
Implementing evidence-based practices into their daily routines.
By fulfilling these objectives, pediatric nurses play a crucial role in ensuring the optimal health and well-being of children throughout all stages of their development.
R3 Stem Cells and Kidney Repair A New Horizon in Nephrology.pptxR3 Stem Cell
R3 Stem Cells and Kidney Repair: A New Horizon in Nephrology" explores groundbreaking advancements in the use of R3 stem cells for kidney disease treatment. This insightful piece delves into the potential of these cells to regenerate damaged kidney tissue, offering new hope for patients and reshaping the future of nephrology.
2. A LEADER IN TEEN BEHAVIORAL HEALTHCARE
Muir Wood provides comprehensive
programming for teen boys and girls, 12-17,
struggling with mental health and substance
use disorders. Accredited by The Joint
Commission, in-network with leading
insurance carriers, and employing some of
the nation’s most skilled and highly
credentialed caregivers, Muir Wood makes
exceptional care accessible.
• Residential treatment in Northern, Central, and
Southern, California
• Outpatient services in Sonoma County, CA
• Comprehensive programming including
medical, clinical, and experiential therapies, life
skills development, and academic support
• Integrated family programming and weekly
family support
• 16-week, curriculum-based parent support
aftercare program at no additional cost
Establishing excellence in teen mental health
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3. WHOM WE SERVE
Teens 12-17 & their family members
Muir Wood specializes in treating boys and girls, 12-17, who are
experiencing substance use and mental health disorders. Programming is
gender-separate, and takes a holistic approach that addresses mental and
physical health, past trauma, physical fitness, recreation, academics, and
life skills. Integral family programming provides education, therapy, and
support to family members.
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4. MISSION, VISION & VALUES
Mission Empower Families. Inspire Hope. Save Lives.
Vision
Values
Making exceptional care accessible.
Compassion
• Put yourself in others’ shoes.
• Respect everyone, everywhere, every time.
Collaboration
• Exhibit vulnerability and trust in working together.
• Partner with others for better results.
Curiosity
• Listen and learn to innovate and improve.
• Ask why. Wonder aloud.
Courage
• Do the right thing, even when it’s hard.
• Ask for and give help.
• Be bold. muirwoodteen.com
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TM
5. LICENSURE & ACCREDITATION
Muir Wood is accredited by The Joint Commission, America’s largest and most revered medical accrediting body. Our
programs are licensed by the California Department of Social Services (DSS) and certified by the California
Department of Health Care Services (DHCS) for residential detoxification and treatment. Our academic program is
recognized as a supplemental learning program by the Western Association of Schools and Colleges (WASC). Muir
Wood maintains an A+ rating from the Better Business Bureau and has been verified as a quality provider by
Psychology Today and Legit Script. As an in-network provider for the nation’s leading insurance carriers listed below,
Muir Wood adheres to the highest levels of safety and quality assurance.
Quality, safety, and compliance
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6. ALWAYS EXCEPTIONAL LOCATIONS
Muir Wood Adolescent and Family Services operates 17 beautiful campuses in Petaluma,
Penngrove, Clovis, and Riverside, California. All campuses are located in upscale
neighborhoods, with panoramic views of rolling hills and pastureland. A variety of nearby
hotels give parents of residential clients quality lodging options when participating in
family therapy.
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7. MUIR WOOD’S HISTORY & FOUNDER
Scott Sowle
Founder and CEO
Opened in 2013, Muir Wood was designed from the ground up and is the culmination of Founder &
CEO Scott Sowle’s personal and professional experiences. Scott worked closely for over three
decades with mental health and substance use disorder programs and became an advocate for the
underserved. He saw the need for a program dedicated to teens and families in northern California
and in 2013 founded Muir Wood Adolescent and Family Services. Today, Muir Wood is among the
highest quality specialized teen treatment providers of its kind.
“My goal for Muir Wood has always been to create a setting that emphasizes kindness and compassion over
confrontation and control. A program that promotes sustainable, life-long connections by providing teens and their
parents an idyllic location coupled with caring, dedicated, and highly qualified professionals who partner with
families to find more effective ways to communicate and begin the healing process.” - Scott Sowle, Founder & CEO
A passion for the restoration of teen well-being
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9. A CARE COLLECTIVE
Muir Wood is the choice of professionals around the country because of its specialized,
evidence-based care, high staff-to-client ratio, highly credentialed and licensed
professionals, Joint Commission accreditation, and a full-time medical and nursing staff. It
is also distinguished by the talent and collegiality of its team members. Muir Wood
carefully selects its staff for their ability to provide exceptional care, and their ability to
support the values of compassion, kindness, cooperation, and quality that are the Brand’s
hallmark. Working as a close-knit unit, our dedicated staff helps ensure strong
collaboration and continuity of care for teens.
Compassionate, skilled allies in teen health
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10. MEDICAL & CLINICAL LEADERSHIP
David Smith, MD
DFASAM, FAACT
Chair, Addiction Medicine &
Medical Quality Assurance
Committee Nancy Herron, M.D.
Double-board-certified
Psychiatrist – Girls
Programs
Jon Sterngold, MD
Internal Medicine
Margaret Grimley, MD
Double-board-certified
Psychiatrist – Girls
Programs
Deb Bowman, Ph.D.
Psychiatric Nurse
Practitioner
Rawland Glass, LCSW
Family Program
Director
Nicolette Gottuso,
LMFT, SUDCC,
Clinical Director,
Skillman Program
Christine Pappas,
Ph.D. Eating Disorder
Specialist
Barbara Nova, Ph.D.
Psychological Testing
Sam Worrall, LMFT
Clinical Director,
Riverside Programs
Lisa Sewell
Director of Nursing
Trevor Robinson, CATC
Recovery Program
Manager
Tara Krueger, Psy.D.
Chief Clinical Officer
Heather Russo, LMFT
Vice President of Clinical
Services
Amber Daughrity, MA,
LMFT Clinical Director,
Lohrman Program
Dr. Rerhime Uku
Psychiatric Nurse
Practitioner
Holly Purcell-Logan,
LMFT Clinical Director,
Clovis Program
Joanna O’Neil, LMFT
Clinical Director,
Primary Mental Health
Programs
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Larissa Laska-Ruebusch
Psy.D. Psychological
Testing
12. COMPREHENSIVE, INTEGRATED CARE
Muir Wood’s comprehensive gender-specific programming for teens experiencing
mental health and substance use disorders is accredited by The Joint Commission,
and employs some of the country’s most skilled caregivers and behavioral
healthcare luminaries. As an in-network provider with the nation’s leading insurance
carriers, Muir Wood is making the most effective and integrated care accessible to
as many families as possible.
Holistic programming and collaborative care
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13. COMPREHENSIVE ASSESSMENTS
Muir Wood uses the Child and Adolescent Service Intensity Instrument (CASII) and
American Society of Addiction Medicine (ASAM) criteria to assess and provide
appropriate care to each prospective client. Clients entering our programs receive
thorough biopsychosocial assessments, psychiatric evaluations, and neurological testing
(when indicated) to identify conditions, make accurate diagnoses, and inform
comprehensive care plans.
Ensuring appropriate fit, accurate diagnoses, and effective
treatment plans
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14. MEDICAL CARE
Muir Wood has full-time experienced and highly credentialed medical doctors
and nurses who help teens overcome their substance use and co-occurring
mental health disorders. Our team of medical professionals includes Dr. David
E. Smith, a luminary and national leader in addiction medicine and past
Medical Director for the State of California, Tara Krueger, Psy.D. and Chief
Clinical Officer, and a team of psychiatrists including Margaret Grimley, M.D.,
and Nancy Herron, M.D.
Full-time psychiatry and nursing staff
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15. CLINICAL THERAPIES
Individual and group therapy sessions at Muir Wood are designed to help teens at
their specific developmental stages. We normalize the intensity and turmoil typical
for this life stage while reviewing the impact of the choices they have made.
Individual psychotherapy sessions conducted by our talented staff of licensed
primary therapists help Muir Wood clients navigate questions of identity and role.
We combine techniques that include motivational interviewing, cognitive
behavioral therapy (CBT), dialectical behavior therapy (DBT), mindfulness-based
practices, and other evidence-based modalities.
Evidence-based therapies and innovative approaches
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16. WASC-RECOGNIZED ACADEMICS
In addition to ensuring the behavioral well-being of teens, we ensure that all Muir Wood
clients receive robust academic support to help them prepare for their futures. The on-site
Muir Wood Learning Centers are year-round supplemental, multi-course programs that
clients attend Monday through Friday from 8:30 a.m. to noon. The Learning Centers are
staffed with Masters-level, state of California credentialed teachers and have been
recognized by the Western Association of Schools and Colleges (WASC).
Jeff Erbst, MBA
Academic Director,
Single-Subject Credentialed
Teacher, Northern CA
Beth Karzes, MA
Multiple-Subject
Credentialed Teacher
Northern CA
Danette Auxier,
MA, Ed Multiple-
Subject Credentialed
Teacher, Southern CA
Maranda Marroquin,
MA, Ed
Classroom Teacher
Southern CA
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17. EXPERIENTIAL THERAPIES
Muir Wood’s holistic and experiential therapy offerings round out an effective
program of individual and group therapy, supportive academics, and family
involvement. Muir Wood clients receive a range of experiential therapies
including yoga and mindfulness, art and music therapy, adventure therapy, and
more. These activities are oftentimes facilitated by Masters-level therapists and
credentialed providers.
Engaging, inspiring, and effective therapies
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18. FITNESS & RECREATION
Muir Wood clients are supervised in the use of on-campus fitness equipment and facilities
as they develop well-rounded fitness routines that contribute to overall health and
positive self-image. Campuses may feature playing fields, lighted basketball courts and
soccer fields, encourage regular team activities between peers, and games with the Care
Team. Muir Wood is a place where positive friendships are encouraged and nurtured.
Building strong bodies and friendships
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19. FAMILY PROGRAMMING
The Family Program at Muir Wood is recognized as one of the most comprehensive
programs of its kind nationally. Programming includes weekly individual family therapy
sessions with licensed therapists, multi-family process groups, evening family
programs, post-treatment coaching, and help navigating aftercare options. Muir Wood
clients and their families become part of our alumni community — one built around
mutual support, understanding, and camaraderie.
Addressing the entire family system
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20. PARENT AFTERCARE SUPPORT OFFERED AT
NO ADDITIONAL COST
Led by Rawland Glass, MSW, LCSW, a past recipient of the Addiction Professional
Outstanding Clinician Award, our online parent support programs allows for an
ongoing discussion of potential challenges. The program helps identify strategies
for dealing with, and responding to, specific dynamics within the family,
emphasizing the use of tools developed while in residential treatment to manage
relationships and emotions. We also facilitate the exploration of conflicts and
identification of solutions that provide the support parents need to remain on track
with their child’s individualized aftercare plan.
Rawland Glass,
M.S.W., LCSW
Family Program Director
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21. INTENSIVE OUTPATIENT SERVICES
Heather Russo,
LMFT
Vice President of Clinical
Services
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Certified by the California Department of Healthcare Services (DHCS), and accredited by
the Joint Commission, this 3-day-per-week intensive outpatient program consists of
process groups, skills practice, and experiential activities, along with individual and family
therapy. This level of care is designed to be a 12-week program, but can be tailored to the
unique needs of each family and teen. On select evenings and weekends, Muir Wood’s
outpatient program will also serve as a learning center for families, with presentations
facilitated by behavioral health specialists aimed at educating and empowering families
and the local community. All outpatient programming is overseen by Heather Russo, LMFT,
Vice President of Clinical Services.
22. OUR CAMPUSES
A THERAPEUTIC MILIEU DESIGNED WITH
TEENS, FAMILIES, AND CLINICIANS IN MIND
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40. % Residents who feel they benefited
from Muir Wood
PARENT & CLIENT SURVEY DATA
SURVEY SAMPLE (Note: N=142, Q3/Q4 2022)
How likely would you be to recommend Muir Wood?
“The absolute right place for my daughter to
have gone. She says, and we agree, 'it saved
my life.' Thank you!”
(Parent of Client C.P., discharge date 3/15/21)
"I really liked the family support and family
therapy. No other facility had offered that
approach. Muir Wood helped my family and
me at a time we desperately needed change."
(Parent of Client R.C., discharge date 1/16/21)
"Brian, my son’s therapist, was excellent. He
connected with him and trusted him early on
which was critical to his success in the
program."
(Parent of Client Q.H., discharge date 9/3/20)
"Muir Wood is amazing. It changed my life.
I feel like me again.”
(Client E.R., discharge date 12/17/20)
"I feel so much better and more capable. Muir
Wood allowed me to find myself again, to feel
that there are people in the world who give a
shit about me when I thought no one ever
could.”
(Client P.B., discharge date 3/19/21)
"Muir Wood was a safe place to deal with my
suicidal thoughts and be stable without
feeling as if I was in danger. I came here
without a goal in my life and left with my
heart set on coming back to work here.”
(Client J.R., discharge date 4/2/21)
How well did Muir Wood
meet the needs of your
child and family?
88%
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41. POSITIVE OUTCOMES
Third-party key findings indicate that Muir Wood accomplishes
its goals of:
• Achieving stabilization
• Significantly improving teen mental health
• Making an immediate positive effect
• Establishing an effective trajectory for ongoing care
Anecdotal reporting from families and colleagues augment outcome study data to
substantiate our programs’ efficacy.
Treatment outcomes measured by Vista Research Group, HIPAA-compliant, third-party
validation, and verified family ratings, 2018-2019, n=147
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42. “… a place of light and hope where kindness, trust and
respect are established as the keystones of
life-long recovery. I only wish every boy had the
opportunity to go to Muir Wood, knowing how much love
and compassion your staff has for youth and their
families, and watching the miracle of broken lives
becoming whole again.”
– Kathy Ketchum, best-selling author of “Teens Under the Influence”,
“The Spirituality of Imperfection”, “The Only Life I Could Save: A Memoir”, and more
PRAISE FROM LUMINARIES IN OUR FIELD
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43. PRAISE FROM LUMINARIES IN OUR FIELD
“Muir Wood addresses key elements in treating
adolescents with substance use and co-occurring
mental health issues. Their treatment offerings,
from comprehensive assessment and psychological
testing, to the ongoing care by highly credentialed
clinicians, and a full-time medical and nursing
department, provide uncompromised care for teens
and their families.”
– David E. Smith, MD, FASAM
Adjunct Professor, University of California, San Francisco, Past President, American Society of Addiction Medicine,
Past Medical Director, State of California
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44. “The extensive family program and gender-specific setting
at Muir Wood are models for the effective care of teens
with co-occurring issues. Their integrated approaches are
key components necessary in addressing the needs of this
population.”
– Steven Batki, MD
Professor of Psychiatry, University of California, San Francisco
US News & World Report, Top Doctors in Addiction Psychiatry
PRAISE FROM LUMINARIES IN OUR FIELD
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45. “Muir Wood clearly understands the importance of
involving families throughout the arc of treatment. Their
comprehensive, multi-disciplinary approach provides a
platform of sustained healing for teens and their families
struggling with attachment, substance use disorders and
co-occurring issues.”
– Stephanie Brown, PhD
Founder, Addictions Institute, Founder & Director, Stanford Alcohol Clinic, Stanford University Medical Center,
Author, The Family Recovery Guide
PRAISE FROM LUMINARIES IN OUR FIELD
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47. TRUSTED TEEN TREATMENT
OUTREACH TEAM
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For more info in Northern CA,
please contact
Kathleen Stafford
Outreach Specialist
Direct: (707) 841-0268
Admissions: (707) 640-2152
KStafford@MuirWoodTeen.com