Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
School |
101YS0200X | |||
Case Manager/Care Coordinator |
171M00000X | |||
Other Service Providers |
175T00000X |
| NPI Number | 1760322085 |
| LBN Legal business name | BRIDGEWAY RECOVERY SERVICES LLC |
| Authorized official | DINO ERRICHETTO - (OWNER) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 03/30/2026 |
| Last updated | 03/30/2026 - About 2 months ago |
| Identifiers | n/a |
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