Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Canyon Lakes Residential Treatment Center

Organization Emotionally Disturbed Childrens' Residential Treatment Facility · NPI 1780762989

Canyon Lakes Residential Treatment Center is an Emotionally Disturbed Childrens' Residential Treatment Facility in Lubbock, Texas. Registered with an NPI since 2006.

In the registry since
2006

Practice location Address checks out

2402 Canyon Lakes Dr
Lubbock, TX 79415-2000
Phone: (806) 762-5782
Fax: (806) 762-0838
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emotionally Disturbed Childrens' Residential Treatment Facility (primary) Taxonomy 322D00000X

Record details

NPI number1780762989
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lenise Staha — Executive Director · (806) 762-5782
NPI enumeratedNovember 2, 2006
Last updated in NPPESAugust 22, 2020
Mailing address2402 Canyon Lakes Dr, Lubbock, TX 79415-2000

Other providers in Lubbock