NPI 1235270885

Copac, INC.

Organisation Substance Abuse Rehabilitation Facility Brandon, MS

Practice location

Address: 3949 Highway 43 N, Brandon, MS 39047-7240
Phone: (601) 829-2500
Fax: (601) 829-4278

Authorised official

Name: Tom Kepner
Title: Director of Operations
Phone: (601) 829-2500

Registered specialties

Substance Abuse Rehabilitation Facility Primary

Residential Treatment Facilities Taxonomy 324500000X Licence FS39DADAPRTR01 (MS)

Other Substance Abuse Rehabilitation Facility providers in Mississippi →

Registry record

NPI: 1235270885
Entity type: Organization
NPI issued: 8 Feb 2007
Record last updated: 18 Dec 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.