| NPI | 1114105848 |
|---|---|
| Doing Business As | PSYCHE, INC. DBA GAIL D INGRAM, M.D. |
| Entity Type | Organization |
| Authorized Contact | GAIL DENISE INGRAM Owner 808-737-3737 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: HI MD7761) |
| Enumeration Date | 2008-02-05 |
| Last Update Date | 2008-02-05 |