Healthcare Provider Details

I. General information

NPI: 1760322085
Provider Name (Legal Business Name): BRIDGEWAY RECOVERY SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/30/2026
Last Update Date: 03/30/2026
Certification Date: 03/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

70 CLINTON ST
EVERETT MA
02149-4674
US

IV. Provider business mailing address

70 CLINTON ST
EVERETT MA
02149-4674
US

V. Phone/Fax

Practice location:
  • Phone: 978-933-7390
  • Fax:
Mailing address:
  • Phone: 978-933-7390
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code175T00000X
TaxonomyPeer Specialist
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code101YS0200X
TaxonomySchool Counselor
License Number
License Number State

VIII. Authorized Official

Name: MR. DINO ERRICHETTO JR.
Title or Position: OWNER
Credential: PRC
Phone: 508-470-5880