# MEM SCEPTER HOME & BEHAVIORAL

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Mem Scepter Home & Behavioral Health Care LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1407462559
- **Authorized official:** MODUPE O ADENEKAN PMHNP (PRESIDENT)
- **Authorized official phone:** (202) 449-0001

## Contact information

- **Practice address:** 25484 POINT LOOKOUT RD STE 301A, LEONARDTOWN, MD 20650-3842
- **Practice address phone:** (240) 309-4111
- **Practice address fax:** (240) 309-4095
- **Mailing address:** 14104 DAWN WHISTLE WAY, BOWIE, MD 20721-1304
- **Mailing address phone:** (202) 449-0001

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM0801X | Mental Health Clinic/Center (Including Community Mental Health Center) | — | NULL | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 09/23/2020
- **Last updated:** 06/28/2023