Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. HAROLD ALPHONSO RUDOLPH
Active Sole ProprietorMR. HAROLD ALPHONSO RUDOLPH is a Psychiatric Residential Treatment Facility healthcare provider located in DETROIT, Michigan. NPI 1346588076 is currently active in the NPPES registry. Verify at CMS.
Psychiatric Residential Treatment Facility · DETROIT, MI
Registration Details
- NPI Number
- 1346588076
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 31, 2013 (13.568802146686 yrs)
- Last Updated
- Jan 31, 2013
- License
-
820174 (MI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1852 W GRAND BLVDDETROIT, MI, 482081006Browse MI providers · Browse ZIP 48208
- Phone
- 3138948444
- Fax
- 3138945542
- Primary Specialty
-
Psychiatric Residential Treatment Facility
320800000X
Other Psychiatric Residential Treatment Facility Providers in DETROIT, MI
| Name | Credential | NPI |
|---|---|---|
| MS. VICKIE MCTAW | CAC-M | 1669703146 |
| MS. TAWIANA FILES | — | 1780139808 |
| TERI LAURIE COLVIN | — | 1295373504 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.