Organization Active NPI

Dallas Detox Center

  • Psychiatric Residential Treatment Facility
  • Weatherford, TX
National Provider Identifier
1689392987
Registry record updated Jul 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X
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, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2026

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
4814-4815OtherTXPRIVATE FUNDING

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL info@dallasdetoxcenter.com Direct

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2275382Dallas Detox Center100 Mariah Dr, Weatherford, TX 76087Certificate of waiverJan 19, 2027
45D2324691Dallas Detox Center, LLC100 Mariah Dr Building 2, Weatherford, TX 76087Certificate of waiverMay 28, 2027

National Provider Directory

National Provider Directory

Practitioners & 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.

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.

Verify at the official NPI Registry.