Fort Worth Detox LLC
NPI 1053274910 · Psychiatric Residential Treatment Facility · Weatherford, TX
Fort Worth Detox LLC is a Psychiatric Residential Treatment Facility organization in Weatherford, TX (NPI 1053274910).
Provider details
- NPI number
- 1053274910
- Entity type
- Organization
- Primary specialty
- Psychiatric Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Nicholas Petrillo, Ceo(978) 440-3200
Specialties & taxonomies
Residential Treatment Facilities
- Substance Abuse Rehabilitation Facility324500000X
Residential Treatment Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2025-12-08
- Last updated
- 2025-12-31
- Certified
- 2025-12-31
Frequently asked questions
- What is Fort Worth Detox LLC's NPI number?
- Fort Worth Detox LLC's National Provider Identifier (NPI) is 1053274910, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Fort Worth Detox LLC?
- Fort Worth Detox LLC is classified in the NPPES registry as Psychiatric Residential Treatment Facility (Residential Treatment Facilities).
- Where is Fort Worth Detox LLC located?
- Fort Worth Detox LLC's practice location on file with NPPES is 101 Mariah Dr, Weatherford, TX 76087-7400.
- What is Fort Worth Detox LLC's phone number?
- The practice phone number listed in the NPPES registry for Fort Worth Detox LLC is (978) 440-3200.
- Who is the authorized official for Fort Worth Detox LLC?
- The authorized official listed on Fort Worth Detox LLC's NPPES record is Nicholas Petrillo, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Fort Worth Detox LLC's NPI active?
- Yes — Fort Worth Detox LLC's NPI (1053274910) is active in the NPPES registry as of the last update on 2025-12-31.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.