Bourne INC
NPI #1568964021 in Altadena, California
Provider Information
- NPI Number
- 1568964021
- Entity Type
- Organization
- Organization Name
- Bourne INC
- Primary Specialty
- Residential Treatment Facility, Emotionally Disturbed Children
- Enumeration Date
- Mar 1, 2018
- Last Updated
- Mar 19, 2019
Practice Location
- Address
- 3053 LA CORONA AVE
- City
- Altadena
- State
- California
- ZIP Code
- 91001-4332
- Phone
- (626) 791-3200
Authorized Official
- Name
- TIM TUCKER
- Title
- CEO
- Phone
- (626) 786-1056
Specialties & Taxonomy Codes
| Specialty |
|---|
| Residential Treatment Facility, Emotionally Disturbed Children |
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