| NPI | 1629359302 |
|---|---|
| Doing Business As | LCHD |
| Entity Type | Organization |
| Authorized Contact | SHAWNA LYNN PFISTER Senior Therapist 262-497-0799 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: IL 180.007494) |
| Enumeration Date | 2011-09-08 |
| Last Update Date | 2011-09-08 |