{"npi":"1922127331","type":"NPI-2","status":"active","name":{"display":"Copac Incorporated","other":[],"organization_name":"COPAC INCORPORATED","authorised_official":"Jerald Hughes, Jr."},"specialty":{"primary_taxonomy":"324500000X","primary_taxonomy_description":"Substance Abuse Rehabilitation Facility","slug":"substance-abuse-rehabilitation-facility","schema_org_specialty":null,"all":[{"code":"324500000X","description":"Substance Abuse Rehabilitation Facility","primary":true,"state":"MS","license":"FS39-DADA-OP-01"}]},"addresses":[{"purpose":"LOCATION","street_1":"4309 LAKELAND DR","city":"FLOWOOD","state":"MS","postal_code":"392328947","country_code":"US","phone":"6018292500","fax":"6019323857"},{"purpose":"MAILING","street_1":"4309 LAKELAND DR","city":"FLOWOOD","state":"MS","postal_code":"392328947","country_code":"US","phone":"6018292500","fax":"6019323857"}],"license":{"state":"MS","number":"FS39-DADA-OP-01"},"identifiers":[{"type_code":"01","label":"Other","value":"1730289802","state":"MS","issuer":"PHYSICIAN"},{"type_code":"01","label":"Other","value":"1073679817","state":"MS","issuer":"NURSE PRACTITIONER"},{"type_code":"01","label":"Other","value":"1801997127","state":"MS","issuer":"PHYSICIAN"},{"type_code":"01","label":"Other","value":"1316016066","state":"MS","issuer":"PHYSICIAN"},{"type_code":"05","label":"Medicaid","value":"0119422","state":"MS","issuer":null},{"type_code":"01","label":"Other","value":"1235270885","state":"MS","issuer":"COPAC INCORPORATED"}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2007-03-28","last_updated":"2007-10-30","_meta":{"source":"NPPES","snapshot_date":"2007-10-30","doc_url":"https://findmynpi.com/api"}}