Organization
DIVINE PROVIDENCE HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HENRY N MOFOR (CEO)
(207) 708-2047
Entity
Organization
Contact information
Practice address
7600 GEORGIA AVE NW STE 412, WASHINGTON, DC 20012-1616
(207) 708-2047
Mailing address
7600 GEORGIA AVE NW STE 412, WASHINGTON, DC 20012-1616
(207) 708-2047
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
03/26/2026
Last updated
03/26/2026
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