NPI 1508136177

Interim House INC

Organisation Substance Abuse Rehabilitation Facility Dorchester, MA

Practice location

Address: 62 Waldeck St, Dorchester, MA 02124-1329
Phone: (617) 265-2636

Authorised official

Name: Robert Ralph Madaruso
Title: Clinical Director
Phone: (617) 265-2636

Registered specialties

Substance Abuse Rehabilitation Facility Primary

Residential Treatment Facilities Taxonomy 324500000X Licence 1697 (MA)

Other Substance Abuse Rehabilitation Facility providers in Massachusetts →

Registry record

NPI: 1508136177
Entity type: Organization
NPI issued: 12 Jan 2012
Record last updated: 12 Jan 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.