Copac Addiction Services

NPI #1073679817 in Brandon, Mississippi

Provider Information

NPI Number
1073679817
Entity Type
Organization
Organization Name
Copac Addiction Services
Primary Specialty
Substance Abuse Rehabilitation Facility
Enumeration Date
Dec 28, 2006
Last Updated
Mar 7, 2023

Practice Location

Address
3949 HIGHWAY 43 N
ZIP Code
39047-7240
Phone
(601) 829-2500

Authorized Official

Name
WANDA NEWTON JOHNSON, CFNP
Title
FAMILY NURSE PRACTITIONER
Phone
(601) 829-2500

Specialties & Taxonomy Codes

Specialty
Substance Abuse Rehabilitation Facility

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