Organization
MEM SCEPTER HOME & BEHAVIORAL
Active
Parent organization
MEM SCEPTER HOME & BEHAVIORAL
Organization subpart
Yes
Provider details
NPI number
Legal business name
MEM SCEPTER HOME & BEHAVIORAL
Authorized official
MODUPE OLUFUNKE ADENEKAN CRNP-PMH-BC (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
PO BOX 1116, LEONARDTOWN, MD 20650-1116
(240) 309-4111
(240) 309-4095
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
07/06/2023
Last updated
07/06/2023
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