NPI 1922127331

Copac Incorporated

Organisation Substance Abuse Rehabilitation Facility Flowood, MS

Practice location

Address: 4309 Lakeland Dr, Flowood, MS 39232-8947
Phone: (601) 829-2500
Fax: (601) 932-3857

Authorised official

Name: Jerald Stacy Hughes, Jr.
Title: Ceo
Phone: (601) 829-2500

Registered specialties

Substance Abuse Rehabilitation Facility Primary

Residential Treatment Facilities Taxonomy 324500000X Licence FS39-DADA-OP-01 (MS)

Other Substance Abuse Rehabilitation Facility providers in Mississippi →

Registry record

NPI: 1922127331
Entity type: Organization
NPI issued: 28 Mar 2007
Record last updated: 30 Oct 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.