Bourne INC
NPI #1588194344 in Altadena, California
Provider Information
- NPI Number
- 1588194344
- Entity Type
- Organization
- Organization Name
- Bourne INC
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Jun 14, 2017
- Last Updated
- Mar 26, 2019
Practice Location
- Address
- 2235 LAKE AVE STE 212
- City
- Altadena
- State
- California
- ZIP Code
- 91001-6041
- Phone
- (626) 797-9196
Authorized Official
- Name
- TIM TUCKER
- Title
- CEO
- Phone
- (626) 786-1056
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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