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
—
—
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
—
—
Other
Enumeration date
02/16/2021
Last updated
02/16/2021
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