Organization · NPI-2
A Mello Journey LLC
Residential Treatment Facility, Intellectual and/or Developmental Disabilities · Charlotte, NC
NPI number1932096112
StatusActive
Last updated in NPPESJun 23, 2025
Details
- NPI
- 1932096112
- Entity type
- Organization (NPI-2)
- Legal business name
- A Mello Journey LLC
- Organization subpart
- No
- Enumeration date
- Jun 20, 2025
- Certification date
- Jun 23, 2025
- Last updated
- Jun 23, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 320600000X | Residential Treatment Facility, Intellectual and/or Developmental Disabilities | – | – | Yes |
| 320900000X | Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | – | – |
Practice location
2004 Mallard Woods PlCharlotte, NC 28262-1024
Phone 347-596-1461
Mailing address
2004 Mallard Woods PlCharlotte, NC 28262-1024
Phone 347-596-1461
Authorized official
Rikki Thompson
Owner
3475961461
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