| NPI | 1215093554 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | S. RICHARD ROSKOS President 214-252-1804 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: TX G1178) |
| Enumeration Date | 2006-12-29 |
| Last Update Date | 2012-07-26 |