# MILLIE'S YOUTH SERVICES, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1699389452
- **Authorized official:** MILLIE WINN (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (510) 772-8458

## Contact information

- **Practice address:** 2512 HAVENSCOURT BLVD, OAKLAND, CA 94605-1935
- **Practice address phone:** (510) 568-4601
- **Practice address fax:** (510) 568-4339
- **Mailing address:** 21 CAMISA CIR, OAKLAND, CA 94605-4919
- **Mailing address phone:** (510) 772-8458

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | — | — | Yes |

## Other

- **Enumeration date:** 08/31/2020
- **Last updated:** 05/13/2021