Organization
HONOUR BRITE LLC
Active
Organization
HONOUR BRITE LLC
Active
Other names
Eustasis Psychiatric and Addiction Health
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALOK JAIN MD (MEMBER/PSYCHIATRIST)
(417) 322-6622
Entity
Organization
Contact information
Practice address
3600 S NATIONAL AVE, SPRINGFIELD, MO 65807-7311
(417) 322-6622
(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
101YM0800X
Mental Health Counselor
—
—
207Q00000X
Family Medicine Physician
—
—
2084P0800X
Psychiatry Physician
—
—
2084P0802X
Addiction Psychiatry Physician
—
—
261Q00000X
Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
261QU0200X
Urgent Care Clinic/Center
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1K3769
—
AR
05
—
500051439
—
MO
05
—
830051239
—
MO
Enumeration date
02/13/2018
Last updated
04/17/2023
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