# GOOD WILL HOME ASSOCIATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Good Will-Hinckley
- **Organization subpart:** No

## Provider details

- **NPI number:** 1770703597
- **Authorized official:** DR. NEIL B COLAN ED.D (CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (207) 238-4000

## Contact information

- **Practice address:** WATERVILLE RD, PRESCOTT ADMINISTRATION BLDG., HINCKLEY, ME 04944-0159
- **Practice address phone:** (207) 238-4000
- **Practice address fax:** (207) 238-4017
- **Mailing address:** PO BOX 159, HINCKLEY, ME 04944-0159
- **Mailing address phone:** (207) 238-4000
- **Mailing address fax:** (207) 238-4017

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | PS885 | ME | Yes |

## Other

- **Enumeration date:** 04/26/2007
- **Last updated:** 03/26/2009