Organization
RESTORATIVE BEHAVIORAL HEALTH, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLEEN LAUREN GONDEN DNP, RN, CRNP, PMHNP (CEO)
(667) 288-1566
Entity
Organization
Contact information
Practice address
29 BROAD ST STE 202A, BERLIN, MD 21811-1054
(667) 288-1566
Mailing address
29 BROAD ST STE 202A, BERLIN, MD 21811-1054
(667) 288-1566
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
2084P0800X
Psychiatry Physician
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261Q00000X
Clinic/Center
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1255822565
NPI NUMBER
PA
Enumeration date
03/30/2022
Last updated
06/06/2025
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