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Residential Treatment Facility, Emotionally Disturbed Children
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TX
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NPI 1780762989
● Active Type 2 · Organization
Canyon Lakes Residential Treatment Center
Residential Treatment Facility, Emotionally Disturbed Children · Lubbock, TX · NPI 1780762989
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Enumerated 2006 · 19 years on NPI
Canyon Lakes Residential Treatment Center is 1 of 94 residential treatment facility, emotionally disturbed children organizations in Texas.
NPI age
19 years
Enumerated 2006-11-02
Primary specialty
Residential Treatment Facility, Emotionally Disturbed Children
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Staha
Executive Director
Last NPPES update
2020-08-22
Source: monthly bulk 2026-05
How this organization compares
Across 94 active residential treatment facility, emotionally disturbed children providers in Texas.
NPI age
19 years
↑ 9 yr above median
Practice locations
1
0 secondary on file
NPI lifetime · 2006 → 2026
2006-11 Enumerated in NPPES
2006
2026
Where they practice
Primary practice location
2402 Canyon Lakes Dr
Lubbock, TX 794152000
📞 8067625782 fax 8067620838
Mailing address
2402 Canyon Lakes Dr
Lubbock, TX 794152000
📞 8067625782 fax 8067620838
Authorized official
Lenise L Staha
Executive Director
📞 8067625782
Individual providers at this organization
3 individual providers on file at this primary practice address.
Specialties
Residential Treatment Facility, Emotionally Disturbed Children
Primary
A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.
taxonomy 322D00000X
Practice context
Multi-provider organization.
3 individual providers on file at this primary address.
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How to verify this organization
Confirm the NPI on NPPES. The CMS registry is the system of record. Open NPPES →
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Confirm payer enrollment if billing. NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.
Updated 2026-05-14
· Source: CMS NPPES bulk export. Praxis MD refreshes the directory monthly with weekly delta updates.
Independent public resource. Not affiliated with CMS, HHS, or NPPES. Not endorsed by the U.S. government.
NPI listing is not proof of active licensure or payer enrollment.