Organization
COPAC, INC.
Active
Organization
COPAC, INC.
Active
Other names
COPAC Addiction Services
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TOM KEPNER (DIRECTOR OF OPERATIONS)
(601) 829-2500
Entity
Organization
Contact information
Practice address
3949 HIGHWAY 43 N, BRANDON, MS 39047-7240
(601) 829-2500
(601) 829-4278
Mailing address
3949 HIGHWAY 43 N, BRANDON, MS 39047-7240
(601) 829-2500
(601) 829-4278
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
FS39DADAPRTR01
MS
Other
Enumeration date
02/08/2007
Last updated
12/18/2007
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