Fort Worth Detox LLC

Primary specialty

Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X

Legal business name

FORT WORTH DETOX LLC

Practice address

101 Mariah Dr
Weatherford, TX 76087-7400

Phone

(978) 440-3200

Fax

(323) 529-8134

NPI assigned

Dec 8, 2025

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Colin McBride

Title

Cro

Phone

(631) 672-7441

Specialties & licenses 2

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1765152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785110400000",
    "number": "1053274910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5201 CONGRESS AVE STE 275",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334873609",
            "telephone_number": "978-440-3200",
            "fax_number": "323-529-8134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 MARIAH DR",
            "city": "WEATHERFORD",
            "state": "TX",
            "postal_code": "760877400",
            "telephone_number": "978-440-3200",
            "fax_number": "323-529-8134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORT WORTH DETOX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-08",
        "last_updated": "2026-07-27",
        "certification_date": "2026-07-27",
        "status": "A",
        "authorized_official_last_name": "MCBRIDE",
        "authorized_official_first_name": "COLIN",
        "authorized_official_title_or_position": "CRO",
        "authorized_official_telephone_number": "631-672-7441"
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristin Marie Flowers, FNP
• Eric R Floyd, MD
• Frances Foland
• Andrea P Ford, DO
• Ricky Joe Ford, M.D.
• Fort Worth Interventional LLC
• Staci Lyn Fouke, MS, OTR
• Kelsey Andrea Foutz
• Francisco a. Mateo, M.D. Inc.
• Lyndsey Franklin, LPTA

• Psychiatric Residential Treatment Facility in Weatherford, TX
• Providers in Weatherford, TX by specialty
• Psychiatric Residential Treatment Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.