Provider Demographics
NPI:1508483934
Name:SATURN SCIENCE INTEGRATED HEALTH
Entity Type:Organization
Organization Name:SATURN SCIENCE INTEGRATED HEALTH
Other - Org Name:SATURN SCIENCE - INTEGRATED BEHAVIORAL HEALTH SCHOOL AND SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRINCIPAL DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:
Authorized Official - Last Name:FUERI
Authorized Official - Suffix:
Authorized Official - Credentials:MSISM
Authorized Official - Phone:248-497-0532
Mailing Address - Street 1:25291 WYKESHIRE RD
Mailing Address - Street 2:
Mailing Address - City:FARMINGTON HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48336-1554
Mailing Address - Country:US
Mailing Address - Phone:248-497-0532
Mailing Address - Fax:
Practice Address - Street 1:2925 RUSSELL ST STE 1
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48207-4825
Practice Address - Country:US
Practice Address - Phone:313-462-4714
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-01
Last Update Date:2020-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No251B00000XAgenciesCase Management
No261Q00000XAmbulatory Health Care FacilitiesClinic/Center
No261QM2800XAmbulatory Health Care FacilitiesClinic/CenterMethadone