# FAMILY BRIDGES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1629238811
- **Authorized official:** KERRI ORTLIEB LPC (CO-CHAIRMAN OF THE BOARD)
- **Authorized official phone:** (417) 496-6444

## Contact information

- **Practice address:** 718 S MAIN ST, WILLARD, MO 65781-9797
- **Practice address phone:** (417) 742-1000
- **Practice address fax:** (417) 742-1001
- **Mailing address:** 718 S MAIN ST, WILLARD, MO 65781-9797
- **Mailing address phone:** (417) 742-1000
- **Mailing address fax:** (417) 742-1001

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 385HR2055X | Child Mental Illness Respite Care | — | NULL | — |
| 385HR2060X | Child Intellectual and/or Developmental Disabilities Respite Care | — | NULL | Yes |
| 385HR2065X | Child Physical Disabilities Respite Care | — | NULL | — |

## Other

- **Enumeration date:** 06/11/2008
- **Last updated:** 06/11/2008