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Organization
BLACK HILLS CHILD PSYCHIATRIC SERVICES
Active
Organization
BLACK HILLS CHILD PSYCHIATRIC SERVICES
Active
Other names
Black Hills Child Psychiatrc Services
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUSAN LYNN BUNNELL MD (OWNER)
(605) 721-1991
Entity
Organization
Contact information
Practice address
2920 SHERIDAN LAKE RD, RAPID CITY, SD 57702-5350
(605) 721-1991
(605) 348-0479
Mailing address
2920 SHERIDAN LAKE RD, RAPID CITY, SD 57702-5350
(605) 721-1991
(605) 348-0479
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
5576
SD
Other
Enumeration date
04/04/2007
Last updated
06/12/2008
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