# NEW DESTINATIONS, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1568718393
- **Authorized official:** LARRY LEE LACKEY (DIRECTOR)
- **Authorized official phone:** (919) 773-2706

## Contact information

- **Practice address:** 213 BROAD ST, MOUNT AIRY, NC 27030-4685
- **Practice address phone:** (336) 786-9526
- **Practice address fax:** (336) 786-9736
- **Mailing address:** 5720 TURNER STORE LN, RALEIGH, NC 27603-7976
- **Mailing address phone:** (919) 773-2706
- **Mailing address fax:** (980) 225-0385

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251S00000X | Community/Behavioral Health Agency | — | NULL | Yes |
| 3104A0625X | Assisted Living Facility (Mental Illness) | — | NULL | — |
| 311ZA0620X | Adult Care Home Facility | — | NULL | — |

## Other

- **Enumeration date:** 07/30/2012
- **Last updated:** 07/01/2016