Organization
MILLIE'S YOUTH SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MILLIE WINN (EXECUTIVE DIRECTOR)
(510) 772-8458
Entity
Organization
Contact information
Practice address
2512 HAVENSCOURT BLVD, OAKLAND, CA 94605-1935
(510) 568-4601
(510) 568-4339
Mailing address
21 CAMISA CIR, OAKLAND, CA 94605-4919
(510) 772-8458
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
—
Other
Enumeration date
08/31/2020
Last updated
05/13/2021
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