OrganizationActive
Interim House Inc
NPI 1508136177 · Substance Abuse Rehabilitation Facility · Dorchester, MA
Provider details
- NPI number
- 1508136177
- Entity type
- Organization
- Primary specialty
- Substance Abuse Rehabilitation FacilityResidential Treatment Facilities
- Authorized official
- Robert Madaruso, Clinical Director
- License
- 1697 (MA)
Mailing address
62 Waldeck St
Dorchester, MA 02124-1329
Registry dates
- Enumerated
- 2012-01-12
- Last updated
- 2012-01-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.