Copac Addiction Services

  • 1073679817 NPI Number
  • |
  • Actived: 12 years ago
  • |
According to our database, NPI number for Copac Addiction Services is 1073679817 and actived since Thursday, December 28 2006. Copac Addiction Services is an Organization provider specializes in Substance Abuse Rehabilitation Facility. Provider information was last updated on 06/25/2010.

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Overview of Copac Addiction Services

  • NPI number: 1346881877
  • Provider type: Organization
  • Specialty: Substance Abuse Rehabilitation Facility
  • Active since: 12/28/2006
  • Last updated: 06/25/2010

Primary Scrop of Practice

  • Taxonomy Code: 324500000X
  • Specialty: Substance Abuse Rehabilitation Facility
  • License Number: R586986
  • License State: MS

Provider Mailing Address

  • Address: 5857 Kristen Dr
    Jackson, MS 39211
  • Phone: 601-956-0303
  • Fax:

Provider Practice Location

  • Address: 3949 Highway 43 N
    Brandon, MS 39047
  • Phone: 601-829-2500
  • Fax: 601-829-4278

Authorized Official

  • Name: Wanda Newton Johnson CFNP
  • Position/Title: Family Nurse Practitioner
  • Telephone Number: 601-829-2500

Scope of Practice

  • Taxonomy Code: 324500000X
  • Specialty: Substance Abuse Rehabilitation Facility
  • License Number: R586986
  • License State: MS
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: MJ1222063
  • Identifier Type: Other
  • Identifier State: MS
  • Issuer: DEA NUMBER

Question & Answers

What is the npi number?

  • Q: What is the npi number for Copac Addiction Services?
  • A: The npi number for Copac Addiction Services is 1073679817.
  • Q: What are Copac Addiction Services's specialties?
  • A: Copac Addiction Services's specialties are Substance Abuse Rehabilitation Facility and different specialities.
  • Q: Where is Copac Addiction Services business practice location?
  • A: Copac Addiction Services business practice location is 3949 Highway 43 N, Brandon, MS 39047.
  • Q: How to contact Copac Addiction Services?
  • A: You can contact Copac Addiction Services via 601-829-2500.
  • Q: What is the authorized official for Copac Addiction Services?
  • A: The authorized office name is Wanda Newton Johnson CFNP with position/title is Family Nurse Practitioner and you can reach the authorized official via phone number 6018292500.