Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DALLAS DETOX CENTER
NPI 1689392987
Psychiatric Residential Treatment Facility in Weatherford, TX

Active since August 22, 2022CLIA Certified · 2 labs
100 MARIAH DR, WEATHERFORD, TX 76087(888) 979-9503 Get Directions Write a Review

NPPES record last updated: July 27, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 27, 2026, Aug 22, 2022 (2 updates tracked since 2022).

About Dallas Detox Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DALLAS DETOX CENTER (NPI 1689392987) is a healthcare organization registered as a psychiatric residential treatment facility in Weatherford, Texas and active in the NPI registry since August 2022. The organization holds 2 active CLIA laboratory certificates and lists Colin Mcbride, Cro, as its authorized official.

NPPES Registry Identity

NPI1689392987
Entity TypeOrganization
Primary Taxonomy323P00000X
Legal Business NameDALLAS DETOX CENTER
Location Address100 MARIAH DRWeatherford, TX 76087-7408
Mailing Address5201 Congress Ave Ste 275Boca Raton, FL 33487-3609 · (888) 979-9503
Organization SubpartNo
Authorized OfficialColin McbrideCro · (631) 672-7441
Enumeration DateAugust 22, 2022
Last NPPES UpdateJuly 27, 20262 updates tracked since enumeration
NPPES CertifiedJuly 27, 2026
NPI 1689392987 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychiatric Residential Treatment FacilityResidential Treatment Facilities
Taxonomy Code323P00000X
Definition
A residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized psychotherapeutic interventions can take place. Residential treatment is a specific level of care to be differentiated from acute, intermediate, and long-term hospital care, when the least restrictive environment is maintained to allow for normalization of the patient's surroundings. The RTF must be both physically and programmatically distinct if it is a part or subunit of a larger treatment program. An RTF is organized and professionally staffed to provide residential treatment of mental disorders to children and adolescents who have sufficient intellectual potential to respond to active treatment (that is, for whom it can reasonably be assumed that treatment of the mental disorder will result in an improved ability to function outside the RTF) for whom outpatient treatment, partial hospitalization or protected and structured environment is medically or psychologically necessary
Also ListedSubstance Abuse Rehabilitation FacilityTaxonomy 324500000X
100 MARIAH DR, Weatherford, TX 76087

Other Identifiers 1

Other4814-4815TX · Private Funding

CLIA Laboratory Certificates CMS CLIA 2

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 45D2324691

Dallas Detox Center, LLC · Weatherford, TX
Active · expires May 28, 2027
CLIA Number45D2324691
Laboratory TypeDetox/Resident
Certificate Effective DateMay 29, 2025
Certificate Expiration DateMay 28, 2027
Laboratory DirectorChristian Small
Laboratory Phone(516) 419-0638
Laboratory LocationDallas Detox Center, LLC100 Mariah Dr Building 2, Weatherford, TX 76087
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 45D2275382

Dallas Detox Center · Weatherford, TX
Active · expires Jan 19, 2027
CLIA Number45D2275382
Laboratory TypeDetox & Residential Sud
Certificate Effective DateJanuary 20, 2025
Certificate Expiration DateJanuary 19, 2027
Laboratory DirectorNicholas Petrillo
Laboratory Phone(817) 598-0040
Laboratory LocationDallas Detox Center100 Mariah Dr, Weatherford, TX 76087
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner
100 MARIAH DR
WEATHERFORD, TX 76087

Frequently 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 Dallas Detox Center's NPI number?

The NPI number for Dallas Detox Center is 1689392987. It was assigned to this organization in the NPPES registry on August 22, 2022.

Where is Dallas Detox Center located?

Dallas Detox Center is located at 100 Mariah Dr, Weatherford, TX 76087. The listed phone number is (888) 979-9503.

What is Dallas Detox Center's specialty?

The primary specialty registered for this NPI is Psychiatric Residential Treatment Facility with taxonomy code 323P00000X.

Does Dallas Detox Center hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Dallas Detox Center 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 24 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.