Organization
GBS LLC
Active
Organization
GBS LLC
Active
Parent organization
GBSLLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
GBSLLC
Authorized official
JAZZAMIN CLARK BASIC SKILLS BST (CFO)
(702) 812-0749
Entity
Organization
Contact information
Practice address
4140 E BASELINE RD STE 101, MESA, AZ 85206-4413
(702) 812-0749
Mailing address
4140 E BASELINE RD STE 101, MESA, AZ 85206-4413
(702) 812-0749
Taxonomy
Speciality
Code
Description
License number
State
225XM0800X
Mental Health Occupational Therapist
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
05/01/2023
Last updated
05/01/2023
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