Organization
ADDICTION MANAGEMENT LLC
Active
Other names
Addiction Management LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GREGORY BERENATO (OWNER)
(918) 509-5000
Entity
Organization
Contact information
Practice address
3015 E SKELLY DR STE 103, TULSA, OK 74105-6344
(918) 509-5000
Mailing address
3015 E SKELLY DR STE 103, TULSA, OK 74105-6344
(918) 509-5000
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
12/26/2023
Last updated
12/27/2023
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