| NPI | 1164870408 |
|---|---|
| Other Name | SPBS |
| Entity Type | Organization |
| Authorized Contact | TWYLA LUCINDA MANCIL Licensed Psychologist/Owner 352-727-8679 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: GA PSY003935) |
| Enumeration Date | 2016-05-26 |
| Last Update Date | 2016-05-26 |