NPIMap

Organization Active NPI

Entro, LLC

  • Children's Substance Abuse Rehabilitation Facility
  • Baltimore, MD
National Provider Identifier
1447996145
Registry record updated May 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Children's Substance Abuse Rehabilitation FacilityTaxonomy code 3245S0500X
Legal business name
ENTRO, LLC
Practice address
4439 Belair Rd
Baltimore, MD 21206-6337
Phone
(410) 617-8043
Fax
(410) 624-5738
NPI assigned
May 6, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 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) 617-8043

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Children's Substance Abuse Rehabilitation Facility 3245S0500X Primary

Addresses

Primary practice location

4439 Belair Rd
Baltimore, MD 21206-6337

Mailing address

4439 Belair Rd
Baltimore, MD 21206-6337
Phone (410) 617-8043

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tgodlock-kemp@entroservices.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": "1651795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651795200000",
    "number": "1447996145",
    "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": "410-617-8043",
            "fax_number": "410-624-5738"
        },
        {
            "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": "410-617-8043",
            "fax_number": "410-624-5738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENTRO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-06",
        "last_updated": "2022-05-06",
        "certification_date": "2022-04-21",
        "status": "A",
        "authorized_official_last_name": "GODLOCK",
        "authorized_official_first_name": "TONYIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-617-8043",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "3245S0500X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tgodlock-kemp@entroservices.com",
            "affiliation": "N",
            "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 May 6, 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.