National Provider Identifier Database

COPAC INC
Substance Abuse Disorder Rehabilitation Facility

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.


Contact Information

COPAC, INC.
3949 HIGHWAY 43 N
BRANDON, MS39047-7240
Phone: 601-829-2500
Fax: 601-829-4278
Website:
Specialty Taxonomy Code
* Substance Abuse Disorder Rehabilitation Facility 324500000X

* Indicates primary specialty

NPI Profile & details for COPAC, INC.

NPI Number 1235270885
Legal business name
LBN
COPAC, INC.
Authorized official TOM KEPNER - (DIRECTOR OF OPERATIONS)
Entity Organization
Organization subpart No
Enumeration date 02/08/2007
Last updated 12/18/2007 - About 18 years ago
Sole proprietor1 Not specified
Identifiers
  • MS License #: FS39DADAPRTR01

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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