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
219 N FOUSHEE ST, ROXBORO, NC 27573-5314
(336) 322-1150
(336) 322-1153
Mailing address
5720 TURNER STORE LANE, RALEIGH, NC 27603-7976
(919) 773-2706
(980) 225-0385
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
NC
Other
Enumeration date
07/20/2012
Last updated
07/07/2017
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up