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Organization
NEW DESTINATIONS, INC
Active
Organization
NEW DESTINATIONS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LARRY LEE LACKEY (DIRECTOR OF OPERATIONS)
(919) 773-2706
Entity
Organization
Contact information
Practice address
1132 CAMDEN RD, FAYETTEVILLE, NC 28306-1848
(919) 773-2706
(980) 225-0385
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
07/03/2013
Last updated
06/21/2017
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