Organization
BRIDGEWELL, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LYNN M LEWIS (BILLING MANAGER)
(339) 883-2166
Entity
Organization
Contact information
Practice address
35 MARKET ST, LOWELL, MA 01852
(978) 459-0389
(978) 459-7642
Mailing address
471 BROADWAY, LYNNFIELD, MA 01940
(339) 883-2166
(339) 883-2187
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
4463
MA
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1310798
—
MA
Enumeration date
01/18/2007
Last updated
08/01/2025
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