Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Bourne Inc

Organization Emotionally Disturbed Childrens' Residential Treatment Facility · NPI 1568964021

Bourne Inc is an Emotionally Disturbed Childrens' Residential Treatment Facility in Altadena, California. Registered with an NPI since 2018.

In the registry since
2018
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3053 La Corona Ave
Altadena, CA 91001-4332
Phone: (626) 791-3200
Fax: (626) 794-1252
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emotionally Disturbed Childrens' Residential Treatment Facility (primary) Taxonomy 322D00000X

Record details

NPI number1568964021
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tim Tucker — Ceo · (626) 786-1056
Other names La Corona Strtp
NPI enumeratedMarch 1, 2018
Last updated in NPPESMay 8, 2026
Certification dateMay 8, 2026
Mailing address2235 Lake Ave Ste 212, Altadena, CA 91001-6041

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