# BLACK HILLS CHILD PSYCHIATRIC SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Black Hills Child Psychiatrc Services
- **Organization subpart:** No

## Provider details

- **NPI number:** 1861514416
- **Authorized official:** DR. SUSAN LYNN BUNNELL MD (OWNER)
- **Authorized official phone:** (605) 721-1991

## Contact information

- **Practice address:** 2920 SHERIDAN LAKE RD, RAPID CITY, SD 57702-5350
- **Practice address phone:** (605) 721-1991
- **Practice address fax:** (605) 348-0479
- **Mailing address:** 2920 SHERIDAN LAKE RD, RAPID CITY, SD 57702-5350
- **Mailing address phone:** (605) 721-1991
- **Mailing address fax:** (605) 348-0479

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM0855X | Adolescent and Children Mental Health Clinic/Center | 5576 | SD | Yes |

## Other

- **Enumeration date:** 04/04/2007
- **Last updated:** 06/12/2008