| Restorative Behavioral Health, Inc. | |
|
9956 N. Main St. Suite 4 Berlin MD 21811-1077 | |
| (908) 418-3234 | |
| Not Available |
| Full Name | Restorative Behavioral Health, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 9956 N. Main St. Suite 4, Berlin, Maryland |
| Authorized Official Name and Position | Charleen Lauren Gonden (CEO) |
| Authorized Official Contact | 9084183234 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Restorative Behavioral Health, Inc. 8500 Coastal Hwy Unit 906 Ocean City MD 21842-7744 Ph: (908) 418-3234 | Restorative Behavioral Health, Inc. 9956 N. Main St. Suite 4 Berlin MD 21811-1077 Ph: (908) 418-3234 |
| NPI Number | 1720728561 |
|---|---|
| Provider Enumeration Date | 03/30/2022 |
| Last Update Date | 11/14/2022 |
| Certification Date | 10/29/2022 |
| Medicare PECOS PAC ID | 3375919376 |
|---|---|
| Medicare Enrollment ID | O20221017000950 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720728561 | NPI | - | NPPES |
| 1255822565 | Other | PA | NPI NUMBER |
| Provider Name | Charleen Lauren Gonden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255822565 PECOS PAC ID: 3072850890 Enrollment ID: I20221017001115 |
| Provider Name | Rachel Hart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376270777 PECOS PAC ID: 4981074135 Enrollment ID: I20230104000131 |
| Provider Name | Siana Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710670864 PECOS PAC ID: 1052765278 Enrollment ID: I20231002002937 |
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