Organization
BOURNE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CANDICE CLAYTON LCSW (CLINICAL DIRECTOR)
(626) 773-2043
Entity
Organization
Contact information
Practice address
3656 MONTEROSA DR, ALTADENA, CA 91001-4028
(626) 794-5832
(626) 794-5830
Mailing address
2235 LAKE AVE STE 212, ALTADENA, CA 91001-6041
(626) 797-9196
(626) 345-9970
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
—
Other
Enumeration date
06/14/2017
Last updated
05/08/2026
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