| NPI | 1750090148 |
|---|---|
| Other Name | DAINE BARLOW |
| Entity Type | Organization |
| Authorized Contact | DAINE J BARLOW Owner 912-509-7500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2022-11-15 |
| Last Update Date | 2022-11-15 |