OrganizationActive
Copac Addiction Services
NPI 1073679817 · Substance Abuse Rehabilitation Facility · Brandon, MS
Provider details
- NPI number
- 1073679817
- Entity type
- Organization
- Primary specialty
- Substance Abuse Rehabilitation FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Wanda Johnson, Family Nurse Practitioner(601) 829-2500
- License
- R586986 (MS)
Specialties & taxonomies
Residential Treatment Facilities
Practice location
3949 Highway 43 N
Brandon, MS 39047-7240
Phone: (601) 829-2500
Fax: (601) 829-4278
Approximate (ZIP-level) locationGet directions
Mailing address
5857 Kristen Dr
Jackson, MS 39211-2831
Registry dates
- Enumerated
- 2006-12-28
- Last updated
- 2023-03-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.