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Organization

NEW DESTINATIONS, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. LARRY LEE LACKEY (EXECUTIVE DIRECTOR)
(919) 414-2860
Entity
Organization

Contact information

Practice address
404 S CLAIBORNE ST, GOLDSBORO, NC 27530-5310
(919) 736-0484
(919) 736-3408
Mailing address
5720 TURNER STORE LN, RALEIGH, NC 27603-7976
(828) 572-2024
(980) 225-0385

Taxonomy

Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
MHL-096-225
NC
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary

Other

Enumeration date
01/09/2010
Last updated
07/07/2017
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