| New Destinations, Inc. | |
|
124 Oakpark Dr Unit J Mooresville NC 28115-7884 | |
| (704) 658-0220 | |
| (704) 658-0223 |
| Full Name | New Destinations, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 124 Oakpark Dr Unit J, Mooresville, North Carolina |
| Authorized Official Name and Position | Larry Lee Lackey (DIRECTOR) |
| Authorized Official Contact | 9197732706 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| New Destinations, Inc. 5720 Turner Store Ln Raleigh NC 27603-7976 Ph: (919) 773-2706 | New Destinations, Inc. 124 Oakpark Dr Unit J Mooresville NC 28115-7884 Ph: (704) 658-0220 |
| NPI Number | 1376899104 |
|---|---|
| Provider Enumeration Date | 07/30/2012 |
| Last Update Date | 10/23/2020 |
| Certification Date | 10/23/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376899104 | NPI | - | NPPES |
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