Copac Addiction Services in Jackson - Substance Abuse Rehabilitation Facility
Copac Addiction Services - NPI 1073679817
Copac Addiction Services is a Substance Abuse Rehabilitation Facility in Jackson, Mississippi. Copac Addiction Services practices all healthcare services and medical treatments related to Substance Abuse Rehabilitation Facility. The NPI Number for Copac Addiction Services is 1073679817. The last update date is 2023-03-07.
Copac Addiction Services's current location address is 5857 Kristen Dr, Jackson, Mississippi. You can contact this provider via phone number 6019560303. The mailing address for Copac Addiction Services is 5857 Kristen Dr, Jackson, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Copac Addiction Services |
|---|---|
| Address | 5857 Kristen Dr, Jackson, Mississippi |
| Phone Number | 6019560303 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | FAMILY NUR |
|---|---|
| Authorized Official Name | Johnson Newton Wanda |
| Credentials | CFNP |
| Telephone Number | 6018292500 |
NPI Number Detail
| NPI Number | 1073679817 |
|---|---|
| Provider Enumeration Date | 2006-12-28 |
| Last Updated Date | 2023-03-07 |
Provider Mailing Address Detail
| Address | 5857 Kristen Dr |
|---|---|
| City | Jackson |
| State | Mississippi (MS) |
| Post Code | 392112831 |
| Phone Number | 6019560303 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Substance Abuse Rehabilitation Facility |
|---|---|
| Taxonomy | 324500000X |
| Licence No | R586986 |
|
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. |
|
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Copac Addiction Services by the Centers for Medicare & Medicaid Services?
The Copac Addiction Services has been issued the NPI (National Provider Identifier) 1073679817 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Copac Addiction Services is physically located?
The Copac Addiction Services is physically situated at the following address: 5857 Kristen Dr, Jackson, MS, 392112831.
What is the Copac Addiction Services's specialty and taxonomy code?
The Copac Addiction Services's specialty is Substance Abuse Rehabilitation Facility, and the corresponding taxonomy code is 324500000X.
On what date did the Copac Addiction Services receive the assignment of its 1073679817 from the Centers for Medicare & Medicaid Services?
The Copac Addiction Services was issued its 1073679817 by the Centers for Medicare & Medicaid Services on 2006-12-28.
When was the information related to Copac Addiction Services most recently updated or refreshed?
The details pertaining to the Copac Addiction Services, including its address, specialty, and other relevant information, were last updated or refreshed on 2023-03-07.
NPI Number: 1669475885
Address: 1005 Midwestern Pkwy, Wichita Falls, TX
NPI Number: 1285637785
Address: 101 Deer Run Rd, Elgin, SC