Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Harold Alphonso Rudolph

Individual provider Mental Illness Community Based Residential Treatment Facility · NPI 1346588076

Mr. Harold Alphonso Rudolph is a Mental Illness Community Based Residential Treatment Facility in Detroit, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2013

Practice location Address checks out

1852 W Grand Blvd
Detroit, MI 48208-1006
Phone: (313) 894-8444
Fax: (313) 894-5542
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Illness Community Based Residential Treatment Facility (primary) Taxonomy 320800000X · Licence 820174 (MI)

Record details

NPI number1346588076
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJanuary 31, 2013
Last updated in NPPESJanuary 31, 2013

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