# RESTORATIVE BEHAVIORAL HEALTH, INC.

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

## Provider details

- **NPI number:** 1720728561
- **Authorized official:** DR. CHARLEEN LAUREN GONDEN DNP, RN, CRNP, PMHNP (CEO)
- **Authorized official phone:** (667) 288-1566

## Contact information

- **Practice address:** 29 BROAD ST STE 202A, BERLIN, MD 21811-1054
- **Practice address phone:** (667) 288-1566
- **Mailing address:** 29 BROAD ST STE 202A, BERLIN, MD 21811-1054
- **Mailing address phone:** (667) 288-1566

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 104100000X | Social Worker | — | NULL | — |
| 104100000X | Social Worker | — | — | — |
| 2084P0800X | Psychiatry Physician | — | NULL | — |
| 2084P0800X | Psychiatry Physician | — | — | — |
| 251S00000X | Community/Behavioral Health Agency | — | NULL | — |
| 261Q00000X | Clinic/Center | — | NULL | — |
| 261QM0801X | Mental Health Clinic/Center (Including Community Mental Health Center) | — | NULL | — |
| 261QM0850X | Adult Mental Health Clinic/Center | — | NULL | — |
| 261QM0855X | Adolescent and Children Mental Health Clinic/Center | — | NULL | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 03/30/2022
- **Last updated:** 08/20/2026