Active NPI
Dallas Detox Center
- Psychiatric Residential Treatment Facility
- Weatherford, TX
National Provider Identifier
1689392987
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric Residential Treatment Facility
- Legal business name
- DALLAS DETOX CENTER
- Practice address
- 100 Mariah Dr
Weatherford, TX 76087-7408 - Phone
- (888) 979-9503
- NPI assigned
- Aug 22, 2022
- Last updated
- Jul 27, 2026
- Organization subpart
- No
NPPES NPI Registry
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
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric Residential Treatment Facility | 323P00000X | Primary | ||
| Substance Abuse Rehabilitation Facility | 324500000X |
Addresses
Primary practice location
100 Mariah Dr
Weatherford, TX 76087-7408
Mailing address
5201 Congress Ave Ste 275
Boca Raton, FL 33487-3609
Phone (888) 979-9503
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4814-4815 | Other | TX | PRIVATE FUNDING |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | info@dallasdetoxcenter.com | Direct |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D2275382 | Dallas Detox Center | Certificate of waiver | Jan 19, 2027 |
| 45D2324691 | Dallas Detox Center, LLC | Certificate of waiver | May 28, 2027 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Psychiatry Physician
- Escondido, CA
- NPI 1740546209
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1661126400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1785110400000",
"number": "1689392987",
"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": "888-979-9503"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 MARIAH DR",
"city": "WEATHERFORD",
"state": "TX",
"postal_code": "760877408",
"telephone_number": "888-979-9503"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DALLAS DETOX CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2022-08-22",
"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": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PRIVATE FUNDING",
"identifier": "4814-4815",
"state": "TX"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "info@dallasdetoxcenter.com",
"affiliation": "N",
"endpointDescription": "Direct URL Email",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "100 Mariah Dr",
"city": "Weatherford",
"state": "TX",
"country_code": "US",
"postal_code": "760877408",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Weatherford, TX
Sources for this page
- 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.