OrganizationActive
Bourne Inc
NPI 1730681297 · Emotionally Disturbed Childrens' Residential Treatment Facility · Altadena, CA
Provider details
- NPI number
- 1730681297
- Entity type
- Organization
- Primary specialty
- Emotionally Disturbed Childrens' Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Tim Tucker, Ceo(626) 797-9196
Specialties & taxonomies
Residential Treatment Facilities
Practice location
3082 Thurin Ave
Altadena, CA 91001-4228
Phone: (626) 797-1706
Fax: (626) 797-9185
Approximate (ZIP-level) locationGet directions
Mailing address
2235 Lake Ave Ste 212
Altadena, CA 91001-6041
Registry dates
- Enumerated
- 2018-03-01
- Last updated
- 2019-03-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.