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Organization
ACCORDIA BEHAVIORAL HEALTH LLC
Active
Organization
ACCORDIA BEHAVIORAL HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANTHONY ODEY OGON SR. B.SC (CHIEF EXECUTIVE OFFICER)
(609) 227-9225
Entity
Organization
Contact information
Practice address
2 LEONARD AVE, CAMDEN, NJ 08105-2404
(609) 227-9225
(856) 666-0159
Mailing address
453 DORCHESTER DR, RIVERSIDE, NJ 08075-1369
(609) 227-9225
Taxonomy
Speciality
Code
Description
License number
State
103TA0400X
Addiction (Substance Use Disorder) Psychologist
—
NULL
103TA0400X
Addiction (Substance Use Disorder) Psychologist
—
—
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
—
NULL
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
—
—
Other
Enumeration date
02/16/2021
Last updated
02/16/2021
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