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Organization

ENTRO, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. TONYIA GODLOCK LMSW (OWNER)
(410) 262-6030
Entity
Organization

Contact information

Practice address
4439 BELAIR RD, BALTIMORE, MD 21206-6337
(410) 262-6030
Mailing address
4439 BELAIR RD, BALTIMORE, MD 21206-6337
(410) 262-6030

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
324500000X
Substance Abuse Rehabilitation Facility
3245S0500X
Children's Substance Abuse Rehabilitation Facility

Other

Enumeration date
04/05/2022
Last updated
04/05/2022
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