COPAC ADDICTION SERVICES
Residential Treatment Facilities at Highway 43, Brandon, MS

License number
Mississippi R586986
Category
Residential Treatment Facilities
Type
Substance Abuse Rehabilitation Facility
Owner
Name: WANDA NEWTON JOHNSON CFNP
Title: FAMILY NURSE PRACTITIONER
Phone: (601) 829-2500
Address
Address 2
3949 Highway 43 N, Brandon, MS 39047
5857 Kristen Dr, Jackson, MS 39211
National Provider ID: 1073679817
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

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