Organization
BOURNE INC
Active
Other names
Corporate Office
Organization subpart
No
Provider details
NPI number
Authorized official
CANDICE CLAYTON LCSW (CLINICAL DIRECTOR)
(626) 773-2043
Entity
Organization
Contact information
Practice address
2235 LAKE AVE STE 212, ALTADENA, CA 91001-6041
(626) 797-9196
(626) 345-7790
Mailing address
2235 LAKE AVE STE 212, ALTADENA, CA 91001-6041
(626) 797-9196
(626) 345-7790
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261Q00000X
Clinic/Center
—
—
Other
Enumeration date
06/14/2017
Last updated
05/08/2026
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