Organization
MICROCOSM, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AYYUR SUTHERLAND LMSW (THERAPIST/FOUNDER)
(231) 912-1131
Entity
Organization
Contact information
Practice address
203 N WASHINGTON ST UNIT 1, YPSILANTI, MI 48197-2519
(231) 912-1131
Mailing address
203 N WASHINGTON ST UNIT 1, YPSILANTI, MI 48197-2519
(231) 912-1131
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
01/15/2024
Last updated
01/15/2024
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