NPI age
3 years
Enumerated 2022-08-22
● Active Type 2 · Organization
Dallas Detox Center
Dallas Detox Center is 1 of 287 substance abuse rehabilitation facility organizations in Texas.
Primary specialty
Substance Abuse Rehabilitation Facility
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Petrillo
Owner
Last NPPES update
2022-08-22
Source: monthly bulk 2026-05
How this organization compares
Across 287 active substance abuse rehabilitation facility providers in Texas.
NPI age
3 years
↓ 6 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2022 → 2026
2022-08Enumerated in NPPES
2022
2026
Where they practice
Primary practice location
100 Mariah Dr
Weatherford, TX 760877408
Mailing address
100 Mariah Dr
Weatherford, TX 760877408
Authorized official
Nicholas Adam Petrillo
Owner
📞 9787884460
Individual providers at this organization
1 individual provider on file at this primary practice address.
- Carmen Robinson, NP Nurse Practitioner NPI 1154795482
Specialties
-
Substance Abuse Rehabilitation Facility PrimaryA facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 4814-4815 | PRIVATE FUNDING |
Practice context
Multi-provider organization. 1 individual provider on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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