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Organization
PRIMARY CARE COMMUNITY HEALTH LLC
Active
Organization
PRIMARY CARE COMMUNITY HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDRE DREVAL (OWNER)
(602) 706-7998
Entity
Organization
Contact information
Practice address
6025 N 27TH AVE STE 5, PHOENIX, AZ 85017-1764
(623) 385-9485
Mailing address
6025 N 27TH AVE STE 5, PHOENIX, AZ 85017-1764
(623) 385-9485
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM2800X
Methadone Clinic
Primary
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
Other
Enumeration date
07/07/2026
Last updated
08/05/2026
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