Organization
GOOD WILL HOME ASSOCIATION
Active
Other names
Good Will-Hinckley
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NEIL B COLAN ED.D (CHIEF EXECUTIVE OFFICER)
(207) 238-4000
Entity
Organization
Contact information
Practice address
WATERVILLE RD, PRESCOTT ADMINISTRATION BLDG., HINCKLEY, ME 04944-0159
(207) 238-4000
(207) 238-4017
Mailing address
PO BOX 159, HINCKLEY, ME 04944-0159
(207) 238-4000
(207) 238-4017
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
PS885
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101810000
—
ME
05
—
101810001
—
ME
05
—
101810002
—
ME
05
—
101810003
—
ME
05
—
101810004
—
ME
05
—
101810005
—
ME
05
—
101810006
—
ME
05
—
101810007
—
ME
05
—
101810008
—
ME
05
—
101810009
—
ME
05
—
101810103
—
ME
05
—
431543400
—
ME
Enumeration date
04/26/2007
Last updated
03/26/2009
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