| Brother2brother | |
|
3031 Scotsman Rd Columbia SC 29223-1812 | |
| (803) 699-1050 | |
| (803) 699-1067 |
| Full Name | Brother2brother |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 3031 Scotsman Rd, Columbia, South Carolina |
| Authorized Official Name and Position | Lee M Coles (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 8036991050 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brother2brother 3031 Scotsman Rd Columbia SC 29223-1812 Ph: (803) 699-1050 | Brother2brother 3031 Scotsman Rd Columbia SC 29223-1812 Ph: (803) 699-1050 |
| NPI Number | 1215243803 |
|---|---|
| Provider Enumeration Date | 08/20/2010 |
| Last Update Date | 07/24/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215243803 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
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