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Organization
MEM SCEPTER HOME & BEHAVIORAL
Active
Organization
MEM SCEPTER HOME & BEHAVIORAL
Active
Other names
Mem Scepter Home & Behavioral Health Care LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MODUPE O ADENEKAN PMHNP (PRESIDENT)
(202) 449-0001
Entity
Organization
Contact information
Practice address
25484 POINT LOOKOUT RD STE 301A, LEONARDTOWN, MD 20650-3842
(240) 309-4111
(240) 309-4095
Mailing address
14104 DAWN WHISTLE WAY, BOWIE, MD 20721-1304
(202) 449-0001
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
09/23/2020
Last updated
06/28/2023
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