Provider Demographics
NPI:1245425172
Name:NEVER GIVE UP
Entity Type:Organization
Organization Name:NEVER GIVE UP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ADRIAN
Authorized Official - Middle Name:T
Authorized Official - Last Name:FUNCHESS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:336-574-2094
Mailing Address - Street 1:303 TRAIL ONE
Mailing Address - Street 2:
Mailing Address - City:BURLINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:27215-5535
Mailing Address - Country:US
Mailing Address - Phone:336-222-8610
Mailing Address - Fax:
Practice Address - Street 1:200 E MCCULLOCH ST
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27406-1439
Practice Address - Country:US
Practice Address - Phone:336-574-2094
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-13
Last Update Date:2007-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCMHL-041-840322D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes322D00000XResidential Treatment FacilitiesResidential Treatment Facility, Emotionally Disturbed Children