Organization
ENTRO, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TONYIA GODLOCK (OWNER)
(410) 617-8043
Entity
Organization
Contact information
Practice address
4439 BELAIR RD, 2ND FLOOR SUITE A, BALTIMORE, MD 21206-6337
(410) 617-8043
Mailing address
4439 BELAIR RD, 2ND FLOOR SUITE A, BALTIMORE, MD 21206-6337
(410) 617-8043
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
04/22/2022
Last updated
05/31/2022
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