Mr. Harold Alphonso Rudolph
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 BlvdDetroit, MI 48208-1006
Phone: (313) 894-8444
Fax: (313) 894-5542
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Specialties & licences
| Mental Illness Community Based Residential Treatment Facility (primary) | Taxonomy 320800000X · Licence 820174 (MI) |
|---|
Record details
| NPI number | 1346588076 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | January 31, 2013 |
| Last updated in NPPES | January 31, 2013 |
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