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Organization
NEW DESTINATIONS, INC.
Active
Organization
NEW DESTINATIONS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LARRY LEE LACKEY (DIRECTOR)
(919) 773-2706
Entity
Organization
Contact information
Practice address
124 OAKPARK DR UNIT J, MOORESVILLE, NC 28115-7884
(704) 658-0220
(704) 658-0223
Mailing address
5720 TURNER STORE LN, RALEIGH, NC 27603-7976
(919) 773-2706
(980) 225-0385
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
3104A0625X
Assisted Living Facility (Mental Illness)
—
—
311ZA0620X
Adult Care Home Facility
—
—
Other
Enumeration date
07/30/2012
Last updated
10/23/2020
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