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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