Organization Active NPI

Entro, LLC

  • Community/Behavioral Health Agency
  • Baltimore, MD
National Provider Identifier
1225779234
Registry record updated Apr 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
ENTRO, LLC
Practice address
4439 Belair Rd
Baltimore, MD 21206-6337
Phone
(410) 262-6030
NPI assigned
Apr 5, 2022
Last updated
Apr 5, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Tonyia Godlock, LMSW
Title
Owner
Phone
(410) 262-6030

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X NU
Children's Substance Abuse Rehabilitation Facility 3245S0500X NU
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

4439 Belair Rd
Baltimore, MD 21206-6337

Mailing address

4439 Belair Rd
Baltimore, MD 21206-6337
Phone (410) 262-6030

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address t.godlock@outlook.com Direct

National Provider Directory

National Provider Directory
Tax ID family
Entro LLC7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1649116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649116800000",
    "number": "1225779234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4439 BELAIR RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212066337",
            "telephone_number": "410-262-6030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4439 BELAIR RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212066337",
            "telephone_number": "410-262-6030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENTRO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-05",
        "last_updated": "2022-04-05",
        "certification_date": "2022-04-04",
        "status": "A",
        "authorized_official_last_name": "GODLOCK",
        "authorized_official_first_name": "TONYIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-262-6030",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3245S0500X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "t.godlock@outlook.com",
            "affiliation": "N",
            "endpointDescription": "t.godlockoutlook.com",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "4439 Belair Rd",
            "city": "Baltimore",
            "state": "MD",
            "country_code": "US",
            "postal_code": "212066337",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.