Organization
ENTRO, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TONYIA GODLOCK LMSW (OWNER)
(410) 617-8043
Entity
Organization
Contact information
Practice address
4439 BELAIR RD, BALTIMORE, MD 21206-6337
(410) 617-8043
(410) 624-5738
Mailing address
4439 BELAIR RD, BALTIMORE, MD 21206-6337
(410) 617-8043
(410) 624-5738
Taxonomy
Speciality
Code
Description
License number
State
3245S0500X
Children's Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
05/06/2022
Last updated
05/06/2022
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