| NPI | 1235270885 |
|---|---|
| Other Name | COPAC ADDICTION SERVICES |
| Entity Type | Organization |
| Authorized Contact | TOM KEPNER Director Of Operations 601-829-2500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: MS FS39DADAPRTR01) |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2007-12-18 |