FORT WORTH DETOX LLC
NPI 1053274910
Psychiatric Residential Treatment Facility in Weatherford, TX
About Fort Worth Detox Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
FORT WORTH DETOX LLC (NPI 1053274910) is a healthcare organization registered as a psychiatric residential treatment facility in Weatherford, Texas and active in the NPI registry since December 2025. The organization holds a CLIA Waiver certificate valid through April 6, 2027 and lists Colin Mcbride, Cro, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 45D2321632
Fort Worth Detox, LLC · Weatherford, TXFrequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Fort Worth Detox LLC's NPI number?
The NPI number for Fort Worth Detox LLC is 1053274910. It was assigned to this organization in the NPPES registry on December 8, 2025.
Where is Fort Worth Detox LLC located?
Fort Worth Detox LLC is located at 101 Mariah Dr, Weatherford, TX 76087. The listed phone number is (978) 440-3200.
What is Fort Worth Detox LLC's specialty?
The primary specialty registered for this NPI is Psychiatric Residential Treatment Facility with taxonomy code 323P00000X.
Does Fort Worth Detox LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 45D2321632) is associated with this NPI, valid through April 6, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Fort Worth Detox LLC was last updated on July 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 28 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.