# ADDICTION MANAGEMENT LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Addiction Management LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154190692
- **Authorized official:** MR. GREGORY BERENATO (OWNER)
- **Authorized official phone:** (918) 509-5000

## Contact information

- **Practice address:** 3015 E SKELLY DR STE 103, TULSA, OK 74105-6344
- **Practice address phone:** (918) 509-5000
- **Mailing address:** 3015 E SKELLY DR STE 103, TULSA, OK 74105-6344
- **Mailing address phone:** (918) 509-5000

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | NULL | Yes |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/26/2023
- **Last updated:** 12/27/2023