Active NPIOrganization

Interim House INC

Substance Abuse Rehabilitation Facility in Dorchester, Massachusetts

NPI Number1508136177
Practice location
62 Waldeck St, Dorchester, MA 02124-1329
Fax
—
Last updated
January 12, 2012

Interim House INC is a healthcare organization based in Dorchester, MA. Interim House INC practices in Dorchester, MA. The NPI Number for Interim House INC is 1508136177 and holds a License No. 1697 (MA). The current practice location address for Interim House INC is 62 Waldeck St, Dorchester, MA 02124-1329 and can be reached out via phone at 617-265-2636.

Provider Profile Details

NPI Number
1508136177
Provider Name
Interim House INC
Provider Entity Type
Organization
Address
62 Waldeck St, Dorchester, MA 02124-1329
Phone Number
617-265-2636
Primary Taxonomy
Substance Abuse Rehabilitation Facility · 324500000X
Organization Subpart
No
Authorized Official
Mr. Robert Ralph Madaruso, LADC1 · Clinical Director · 617-265-2636
Provider Enumeration Date
January 12, 2012
Last Update Date
January 12, 2012
NPI Status
Active

Provider Business Practice Location Address Details

Address
62 Waldeck St
Dorchester, MA 02124-1329
Zip
02124-1329
Phone Number
617-265-2636
Dorchester, MA 02124Get directions →

Provider Business Mailing Address Details

Address
62 Waldeck St
Dorchester, MA 02124-1329
City
Dorchester
State
MA
Zip
02124-1329
Phone Number
617-265-2636

License Information

License Number
1697
License State
MA
Taxonomy
Substance Abuse Rehabilitation Facility · 324500000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

Other Substance Abuse Rehabilitation Facility providers near Dorchester, MA

View all Substance Abuse Rehabilitation Facility providers in Dorchester →

Frequently Asked Questions

What is the NPI number of Interim House INC?

The NPI number of Interim House INC is 1508136177. It was assigned on January 12, 2012 and is currently active in the NPPES registry.

What is the specialty of Interim House INC?

Interim House INC is registered under the primary taxonomy Substance Abuse Rehabilitation Facility (code 324500000X), licensed in MA under license number 1697.

Where does Interim House INC practice?

The practice location is 62 Waldeck St, Dorchester, MA 02124-1329. The office can be reached at 617-265-2636 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1508136177 directly on the NPPES registry website.

Browse related providers