Organization
SOAR TRANSITIONAL HOMES AND RECOVERY CENTERS OF NELA
Active
Other names
Soar Community Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
NASIR AL-HAJJ MUHAMMAD (OWNER)
(318) 395-6619
Entity
Organization
Contact information
Practice address
201 CENTURY VILLAGE BLVD STE 247, MONROE, LA 71203-2006
(318) 395-6619
(318) 575-4054
Mailing address
201 CENTURY VILLAGE BLVD STE 247, MONROE, LA 71203-2006
(318) 395-6619
(318) 575-4054
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YP2500X
Professional Counselor
—
—
207QA0401X
Addiction Medicine (Family Medicine) Physician
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
09/01/2023
Last updated
09/01/2023
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