OrganizationActive
Entro, LLC
NPI 1447996145 · Children's Substance Abuse Rehabilitation Facility · Baltimore, MD
Provider details
- NPI number
- 1447996145
- Entity type
- Organization
- Primary specialty
- Children's Substance Abuse Rehabilitation FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Tonyia Godlock, Owner(410) 617-8043
Specialties & taxonomies
Residential Treatment Facilities
Practice location
4439 Belair Rd
Baltimore, MD 21206-6337
Phone: (410) 617-8043
Fax: (410) 624-5738
Approximate (ZIP-level) locationGet directions
Mailing address
4439 Belair Rd
Baltimore, MD 21206-6337
Registry dates
- Enumerated
- 2022-05-06
- Last updated
- 2022-05-06
- Certified
- 2022-04-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.