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Individual

DONTRIEZE KENYATTA CHAPMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
2105 PRESBYTERIAN LN, KINSTON, NC 28501-2265
(252) 268-3798
(252) 509-0455
Mailing address
2105 PRESBYTERIAN LN, KINSTON, NC 28501-2265
(252) 268-3798
(252) 509-0455

Taxonomy

Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary

Other

Enumeration date
12/09/2024
Last updated
02/04/2025
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