Organization
BT RESTORATION & HEALING CENTER INJ LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROLE TCHATCHOUA CRNP-FAMILY (PRESIDENT)
(240) 422-7774
Entity
Organization
Contact information
Practice address
1140 OPAL CT, HAGERSTOWN, MD 21740-5940
(240) 422-7774
Mailing address
1140 OPAL CT, HAGERSTOWN, MD 21740-5940
(240) 422-7774
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
—
—
363LA2200X
Adult Health Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
04/12/2022
Last updated
07/13/2023
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