OrganizationActive
Kids Play Therapy LLC
NPI 1770732158 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Goshen, NY
Provider details
- NPI number
- 1770732158
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Xeriss Santa Ana, Occupational Therapist(917) 822-6461
- License
- 008688-1 (NY)
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000XLicense 008688-1 (NY)
Residential Treatment Facilities
Practice location
209 Murray Ave
Goshen, NY 10924-1205
Phone: (917) 822-6461
Approximate (ZIP-level) locationGet directions
Mailing address
209 Murray Ave
Goshen, NY 10924-1205
Registry dates
- Enumerated
- 2008-09-10
- Last updated
- 2008-09-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.