| NPI | 1417733882 |
|---|---|
| Doing Business As | SOAR COMMUNITY CLINIC |
| Entity Type | Organization |
| Authorized Contact | NASIR AL-HAJJ MUHAMMAD Owner 318-395-6619 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| 101YP2500X Counselor, Professional | |
| 207QA0401X Family Medicine, Addiction Medicine | |
| Enumeration Date | 2023-09-01 |
| Last Update Date | 2023-09-01 |