# COOPERRIIS CRA

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** COOPERRIIS, INC.
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1679606883
- **Legal business name:** COOPERRIIS, INC.
- **Authorized official:** ERIC LEVINE ED.D (PRESIDENT/CEO)
- **Authorized official phone:** (828) 894-5557

## Contact information

- **Practice address:** 85 ZILLICOA ST, ASHEVILLE, NC 28801-1038
- **Practice address phone:** (828) 771-9001
- **Mailing address:** 101 HEALING FARM LANE, MILL SPRING, NC 28756
- **Mailing address phone:** (828) 894-5557
- **Mailing address fax:** (844) 965-9530

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 323P00000X | Psychiatric Residential Treatment Facility | — | — | Yes |

## Other

- **Enumeration date:** 03/14/2007
- **Last updated:** 01/09/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 6005719 | — | NC |