Organization
TYLER POLLACK INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TYLER POLLACK L.M.S.W. (OWNER/CLINICIAN)
(734) 546-3833
Entity
Organization
Contact information
Practice address
595 FOREST AVE, PLYMOUTH, MI 48170-1775
(734) 546-3833
Mailing address
49791 GARFIELD ST, CANTON, MI 48188-3425
(734) 546-3833
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
12/06/2018
Last updated
12/06/2018
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