Organization
A MELLO JOURNEY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RIKKI THOMPSON BACHELOR DEGREE (OWNER)
(347) 596-1461
Entity
Organization
Contact information
Practice address
2004 MALLARD WOODS PL, CHARLOTTE, NC 28262-1024
(347) 596-1461
Mailing address
2004 MALLARD WOODS PL, CHARLOTTE, NC 28262-1024
(347) 596-1461
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
Other
Enumeration date
06/20/2025
Last updated
06/23/2025
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