# BOURNE INC

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

## Provider details

- **NPI number:** 1063942894
- **Authorized official:** CANDICE CLAYTON LCSW (CLINICAL DIRECTOR)
- **Authorized official phone:** (626) 773-2043

## Contact information

- **Practice address:** 3656 MONTEROSA DR, ALTADENA, CA 91001-4028
- **Practice address phone:** (626) 794-5832
- **Practice address fax:** (626) 794-5830
- **Mailing address:** 2235 LAKE AVE STE 212, ALTADENA, CA 91001-6041
- **Mailing address phone:** (626) 797-9196
- **Mailing address fax:** (626) 345-9970

## Taxonomy

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

## Other

- **Enumeration date:** 06/14/2017
- **Last updated:** 05/08/2026