Organization
ENTRO, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TONYIA GODLOCK-KEMP LCSW-C (OWNER)
(410) 617-8043
Entity
Organization
Contact information
Practice address
8615 RIDGELYS CHOICE DR STE 211, NOTTINGHAM, MD 21236-3028
(410) 617-8043
(410) 624-5738
Mailing address
8615 RIDGELYS CHOICE DR STE 211, NOTTINGHAM, MD 21236-3028
(410) 617-8043
(410) 624-5738
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
04/11/2025
Last updated
04/11/2025
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