# BT RESTORATION & HEALING CENTER INJ LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1982346714
- **Authorized official:** CAROLE TCHATCHOUA CRNP-FAMILY (PRESIDENT)
- **Authorized official phone:** (240) 422-7774

## Contact information

- **Practice address:** 1140 OPAL CT, HAGERSTOWN, MD 21740-5940
- **Practice address phone:** (240) 422-7774
- **Mailing address:** 1140 OPAL CT, HAGERSTOWN, MD 21740-5940
- **Mailing address phone:** (240) 422-7774

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QC1500X | Community Health Clinic/Center | — | NULL | — |
| 363LA2200X | Adult Health Nurse Practitioner | — | NULL | — |
| 363LA2200X | Adult Health Nurse Practitioner | — | — | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 04/12/2022
- **Last updated:** 07/13/2023