Family Bridges

NPI #1629238811 in Willard, Missouri

Provider Information

NPI Number: 1629238811
Entity Type: Organization
Organization Name: Family Bridges
Primary Specialty: Respite Care - Respite Care, Intellectual and/or Developmental Disabilities, Child
Enumeration Date: Jun 11, 2008
Last Updated: Jun 11, 2008

Practice Location

Address: 718 S MAIN ST
City: Willard
State: Missouri
ZIP Code: 65781-9797
Phone: (417) 742-1000

Authorized Official

Name: KERRI ORTLIEB, LPC
Title: CO-CHAIRMAN OF THE BOARD
Phone: (417) 496-6444

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Respite Care - Respite Care, Mental Illness, Child — Respite Care, Mental Illness, Child	385HR2055X
Respite Care - Respite Care, Physical Disabilities, Child — Respite Care, Physical Disabilities, Child	385HR2065X
Respite Care - Respite Care, Intellectual and/or Developmental Disabilities, Child — Respite Care, Intellectual and/or Developmental Disabilities, Child	385HR2060X	Primary

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