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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