Black Excellence Striving Therapeutic

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

Legal business name

BLACK EXCELLENCE STRIVING THERAPEUTIC

Practice address

142 Southern Plaza Dr
Dudley, NC 28333-9159

Phone

(919) 879-6090

NPI assigned

Mar 15, 2024

Last updated

Mar 15, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Marcus Deontoine Best, MASTERS

Title

Qualified Professional

Phone

(919) 879-6090

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1710460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710460800000",
    "number": "1902665771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 771",
            "city": "CLAYTON",
            "state": "NC",
            "postal_code": "275280771",
            "telephone_number": "919-879-6090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "142 SOUTHERN PLAZA DR",
            "city": "DUDLEY",
            "state": "NC",
            "postal_code": "283339159",
            "telephone_number": "919-879-6090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLACK EXCELLENCE STRIVING THERAPEUTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-15",
        "last_updated": "2024-03-15",
        "certification_date": "2024-03-15",
        "status": "A",
        "authorized_official_last_name": "BEST",
        "authorized_official_first_name": "MARCUS",
        "authorized_official_middle_name": "DEONTOINE",
        "authorized_official_title_or_position": "QUALIFIED PROFESSIONAL",
        "authorized_official_telephone_number": "919-879-6090",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MASTERS"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• 4 Counties Transitional Services
• Accolent Consultants
• Alm Family Homes,Inc
• Jennifer Nicole Brinson
• Divine Revitalization Management Incorporated
• Deborah Faircloth
• Alvin Grant
• Shawn Austin Ham

• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Dudley, NC
• Providers in Dudley, NC by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2024; 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.