# BROTHER2BROTHER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215243803
- **Authorized official:** MR. LEE M COLES MBA (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (803) 699-1050

## Contact information

- **Practice address:** 3031 SCOTSMAN RD, COLUMBIA, SC 29223-1812
- **Practice address phone:** (803) 699-1050
- **Practice address fax:** (803) 699-1067
- **Mailing address:** 3031 SCOTSMAN RD, COLUMBIA, SC 29223-1812
- **Mailing address phone:** (803) 699-1050
- **Mailing address fax:** (803) 699-1067

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM0855X | Adolescent and Children Mental Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 08/20/2010
- **Last updated:** 07/24/2014