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Copac Incorporated
Substance Abuse Rehabilitation Facility in Flowood, Mississippi
NPI 1922127331

Copac Incorporated is a Substance Abuse Rehabilitation Facility based in Flowood, MS. Copac Incorporated practices in Flowood, MS. The NPI Number for Copac Incorporated is 1922127331 and holds a License No. FS39-DADA-OP-01 (Mississippi).

The current practice location address for Copac Incorporated is 4309 Lakeland Dr, Flowood, MS and can be reached out via phone at 601-829-2500 and via fax at 601-932-3857.

Location: 4309 Lakeland Dr, Flowood, MS, 39232-8947
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1922127331
Provider Name
Copac Incorporated
Credential
Provider Entity Type
Organization
Address
4309 Lakeland Dr, Flowood, MS, 39232-8947
Phone Number
601-829-2500
Fax Number
601-932-3857
Provider Enumeration Date
03/28/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1730289802 01 MS PHYSICIAN
1073679817 01 MS NURSE PRACTITIONER
1801997127 01 MS PHYSICIAN
1316016066 01 MS PHYSICIAN
0119422 05 MS
1235270885 01 MS COPAC INCORPORATED
institution
Provider Business Practice Location Address Details
Address
4309 Lakeland Dr
City
Flowood
State
Mississippi
Zip
39232-8947
Phone Number
601-829-2500
Fax Number
601-932-3857
person
Provider Business Mailing Address Details
Address
4309 Lakeland Dr
City
Flowood
State
Mississippi
Zip
39232-8947
Phone Number
601-829-2500
Fax Number
601-932-3857
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
-
Taxonomy
324500000X
License No.
FS39-DADA-OP-01 (Mississippi)
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
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