Organization
EUSTASIS FOUNDATION, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALISHA BREANNA JAIN PMHNP-BC, CARN-AP, A (PRESIDENT)
(417) 322-6622
Entity
Organization
Contact information
Practice address
3100 S NATIONAL AVE STE 103, SPRINGFIELD, MO 65807-7347
(417) 427-6103
(417) 350-1935
Mailing address
3600 S NATIONAL AVE, SPRINGFIELD, MO 65807-7311
(417) 322-6622
(417) 350-1935
Taxonomy
Speciality
Code
Description
License number
State
251V00000X
Voluntary or Charitable Agency
Primary
—
—
Other
Enumeration date
08/25/2020
Last updated
08/25/2020
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