COPAC INCORPORATED
Residential Treatment Facilities at Lakeland Dr, Jackson, MS

License number
Mississippi FS39-DADA-OP-01
Category
Residential Treatment Facilities
Type
Substance Abuse Rehabilitation Facility
Owner
Name: JERALD STACY HUGHES, JR. PHD, LPC
Title: CEO
Phone: (601) 829-2500
Address
Address
4309 Lakeland Dr, Jackson, MS 39232
National Provider ID: 1922127331
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

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