OrganizationActive
Bourne Inc
NPI 1063942894 · Emotionally Disturbed Childrens' Residential Treatment Facility · Altadena, CA
Provider details
- NPI number
- 1063942894
- Entity type
- Organization
- Primary specialty
- Emotionally Disturbed Childrens' Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Candice Clayton, Clinical Director(626) 773-2043
Specialties & taxonomies
Residential Treatment Facilities
Practice location
3656 Monterosa Dr
Altadena, CA 91001-4028
Phone: (626) 794-5832
Fax: (626) 794-5830
Approximate (ZIP-level) locationGet directions
Mailing address
2235 Lake Ave Ste 212
Altadena, CA 91001-6041
Registry dates
- Enumerated
- 2017-06-14
- Last updated
- 2026-05-08
- Certified
- 2026-05-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.