# AZ NEURORECOVERY TREATMENT INNOVATION CENTER, LLC

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

## Provider details

- **NPI number:** 1790256089
- **Authorized official:** DR. MELANIE ALARCIO MD (PEDIATRIC NEUROLOGIST/PARTNER)
- **Authorized official phone:** (480) 621-8200

## Contact information

- **Practice address:** 2812 N NORWALK STE 10-119, MESA, AZ 85215-1148
- **Practice address phone:** (480) 621-8200
- **Practice address fax:** (480) 621-8283
- **Mailing address:** 2812 N NORWALK STE 10-119, MESA, AZ 85215-1148
- **Mailing address phone:** (480) 621-8200
- **Mailing address fax:** (480) 621-8283

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2084N0402X | Neurology with Special Qualifications in Child Neurology Physician | — | NULL | — |
| 2084N0402X | Neurology with Special Qualifications in Child Neurology Physician | — | — | — |
| 261QM2500X | Medical Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 12/11/2018
- **Last updated:** 06/11/2019