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Organization
MAYNE ROAD RECOVERY LLC
Active
Organization
MAYNE ROAD RECOVERY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRYANT SCOTT (OWNER)
(747) 466-0124
Entity
Organization
Contact information
Practice address
5741 CARLTON WAY APT 101, LOS ANGELES, CA 90028-6744
(747) 350-4976
Mailing address
5741 CARLTON WAY APT 101, LOS ANGELES, CA 90028-6744
(747) 350-4976
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
101YP1600X
Pastoral Counselor
—
—
Other
Enumeration date
01/23/2026
Last updated
01/24/2026
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