Canyon Lakes Residential Treatment Center in Lubbock - Residential Treatment Facility, Emotionally Disturbed Children
Canyon Lakes Residential Treatment Center - NPI 1780762989
Canyon Lakes Residential Treatment Center is a Residential Treatment Facility, Emotionally Disturbed Children in Lubbock, Texas. Canyon Lakes Residential Treatment Center practices all healthcare services and medical treatments related to Residential Treatment Facility, Emotionally Disturbed Children. The NPI Number for Canyon Lakes Residential Treatment Center is 1780762989. The last update date is 2020-08-22.
Canyon Lakes Residential Treatment Center's current location address is 2402 Canyon Lakes Dr, Lubbock, Texas. You can contact this provider via phone number 8067625782 and fax number 8067620838. The mailing address for Canyon Lakes Residential Treatment Center is 2402 Canyon Lakes Dr, Lubbock, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Canyon Lakes Residential Treatment Center |
|---|---|
| Address | 2402 Canyon Lakes Dr, Lubbock, Texas |
| Phone Number | 8067625782 |
| Fax Number | 8067620838 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | EXECUTIVE |
|---|---|
| Authorized Official Name | Staha L Lenise |
| Telephone Number | 8067625782 |
NPI Number Detail
| NPI Number | 1780762989 |
|---|---|
| Provider Enumeration Date | 2006-11-02 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 2402 Canyon Lakes Dr |
|---|---|
| City | Lubbock |
| State | Texas (TX) |
| Post Code | 794152000 |
| Phone Number | 8067625782 |
| Fax Number | 8067620838 |
Provider's Primary Taxonomy Detail
| Speciality | Residential Treatment Facility, Emotionally Disturbed Children |
|---|---|
| Taxonomy | 322D00000X |
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Definition: 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. |
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Post Comment/ Review Below
What is the unique identifier code issued to Canyon Lakes Residential Treatment Center by the Centers for Medicare & Medicaid Services?
The Canyon Lakes Residential Treatment Center has been assigned the NPI (National Provider Identifier) 1780762989. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Canyon Lakes Residential Treatment Center is located?
The Canyon Lakes Residential Treatment Center is situated at the following address: 2402 Canyon Lakes Dr, Lubbock, TX, 794152000.
What is Canyon Lakes Residential Treatment Center's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Canyon Lakes Residential Treatment Center is Residential Treatment Facility, Emotionally Disturbed Children, and the taxonomy code that categorizes this field of expertise is 322D00000X.
When did Canyon Lakes Residential Treatment Center receive its 1780762989 assignment?
The Canyon Lakes Residential Treatment Center was assigned its 1780762989 on 2006-11-02, which is the date when this unique identifier was issued to the organization.
As of what date were the Canyon Lakes Residential Treatment Center's details last updated?
The information pertaining to the Canyon Lakes Residential Treatment Center, including its address, specialty, and other details, was most recently updated on 2020-08-22.