OrganizationActive
Canyon Lakes Residential Treatment Center
NPI 1780762989 · Emotionally Disturbed Childrens' Residential Treatment Facility · Lubbock, TX
Provider details
- NPI number
- 1780762989
- Entity type
- Organization
- Primary specialty
- Emotionally Disturbed Childrens' Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Lenise Staha, Executive Director(806) 762-5782
Specialties & taxonomies
Residential Treatment Facilities
Practice location
2402 Canyon Lakes Dr
Lubbock, TX 79415-2000
Phone: (806) 762-5782
Fax: (806) 762-0838
Approximate (ZIP-level) locationGet directions
Mailing address
2402 Canyon Lakes Dr
Lubbock, TX 79415-2000
Registry dates
- Enumerated
- 2006-11-02
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.