CANYON LAKES RTC NPI 1932333846

NPI Information

CANYON LAKES RTC is a professional counselor in Lubbock, TX. CANYON LAKES RTC NPI is 1932333846. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2402 CANYON LAKE DR
LUBBOCK, TX
ZIP 79415-000
Phone: (806) 762-5782

The provider's authorized official is Lenise Staha .
The authorized official title is Executive Director and has the following contact phone number (806) 762-5782.

The enumeration date for this NPI number is 5/6/2009 and was last updated on 5/6/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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