| NPI | 1407396302 |
|---|---|
| Other Name | RYAN WHITE PROGRAM |
| Entity Type | Organization |
| Authorized Contact | DEBBIAN FLETCHER BLAKE CEO 718-583-5150 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2017-02-27 |
| Last Update Date | 2020-06-15 |