NPI 1053274910

Fort Worth Detox LLC

Organisation Psychiatric Residential Treatment Facility Weatherford, TX

Practice location

Address: 101 Mariah Dr, Weatherford, TX 76087-7400
Phone: (978) 440-3200
Fax: (323) 529-8134
Mailing address: 5201 Congress Ave STE 275, Boca Raton, FL 33487-3609

Authorised official

Name: Colin McBride
Title: Cro
Phone: (631) 672-7441

Registered specialties (2)

Psychiatric Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 323P00000X

Other Psychiatric Residential Treatment Facility providers in Texas →

Substance Abuse Rehabilitation Facility

Residential Treatment Facilities Taxonomy 324500000X

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Registry record

NPI: 1053274910
Entity type: Organization
NPI issued: 8 Dec 2025
Record last updated: 27 Jul 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.