Canyon Lakes Residential Treatment Center

NPI #1780762989 in Lubbock, Texas

Provider Information

NPI Number: 1780762989
Entity Type: Organization
Organization Name: Canyon Lakes Residential Treatment Center
Primary Specialty: Residential Treatment Facility, Emotionally Disturbed Children
Enumeration Date: Nov 2, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 2402 CANYON LAKES DR
City: Lubbock
State: Texas
ZIP Code: 79415-2000
Phone: (806) 762-5782

Authorized Official

Name: LENISE L STAHA
Title: EXECUTIVE DIRECTOR
Phone: (806) 762-5782

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Residential Treatment Facility, Emotionally Disturbed Children	322D00000X	Primary

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