Future Vision of Southwest Georgia

NPI #1083991806 in Donalsonville, Georgia

Provider Information

NPI Number: 1083991806
Entity Type: Organization
Organization Name: Future Vision of Southwest Georgia
Subpart: Yes (part of a larger organization)
Parent Organization: FUTURE VISION/VISION HOUSE, INC.
Primary Specialty: Counselor
Enumeration Date: Nov 8, 2011
Last Updated: Nov 8, 2011

Practice Location

Address: 601 ROGERS AVE
City: Donalsonville
State: Georgia
ZIP Code: 39845-1729
Phone: (336) 671-0507

Authorized Official

Name: MISS BRENDA BUTLER
Title: PRESIDENT
Phone: (336) 671-0507

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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