# MINDWELL RECUPERATIVE CARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1952279507
- **Authorized official:** SUREN PETOYAN PHARM TECH (MANAGER)
- **Authorized official phone:** (323) 660-2222

## Contact information

- **Practice address:** 6383 YUCCA ST, LOS ANGELES, CA 90028-5057
- **Practice address phone:** (213) 519-2442
- **Practice address fax:** (818) 457-5577
- **Mailing address:** 6383 YUCCA ST, LOS ANGELES, CA 90028-5057
- **Mailing address phone:** (213) 519-2442

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | — | NULL | — |
| 385H00000X | Respite Care | — | NULL | Yes |

## Other

- **Enumeration date:** 10/27/2025
- **Last updated:** 10/27/2025