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MR. HAROLD ALPHONSO RUDOLPH
NPI 1346588076
Community Based Residential Treatment Facility, Mental Illness in Detroit, MI

Active since January 31, 2013
1852 W GRAND BLVD, DETROIT, MI 48208(313) 894-8444(313) 894-5542 Get Directions Write a Review

NPPES record last updated: January 31, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Harold Alphonso Rudolph NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. HAROLD ALPHONSO RUDOLPH (NPI 1346588076) is an individual community based residential treatment facility, mental illness provider in Detroit, Michigan, licensed in Michigan (820174) and active in the NPI registry since January 2013.

NPPES Registry Identity

NPI1346588076
Entity TypeIndividualMale
Primary Taxonomy320800000X
Provider Legal NameMR. HAROLD ALPHONSO RUDOLPH
Location Address1852 W GRAND BLVDDetroit, MI 48208-1006
Mailing Address1852 W Grand BlvdDetroit, MI 48208-1006 · (313) 894-8444 · Fax (313) 894-5542
Phone(313) 894-8444
Fax(313) 894-5542
Sole ProprietorYes
Enumeration DateJanuary 31, 2013
✔ NPI 1346588076 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Mental IllnessResidential Treatment Facilities
Taxonomy Code320800000X
License✔ Licensed in MI · 820174
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
1852 W GRAND BLVD, Detroit, MI 48208
Open in Google Maps ↗

Other Identifiers 1

Medicaid381917278MI

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. BRIAN R COGLIATI
Counselor (Addiction (Substance Use Disorder))
1852 W GRAND BLVD, 1852 W. GRAND BLVD
DETROIT, MI 48208
Wayne County (313) 894-8444
MS. AMIE P LEWIS
Counselor (Addiction (Substance Use Disorder))
1852 W GRAND BLVD
DETROIT, MI 48208
Wayne County (313) 894-8444
MR. RONALD GERVIN
Counselor (Addiction (Substance Use Disorder))
1852 W GRAND BLVD
DETROIT, MI 48208
Wayne County (313) 894-8444
MR. ARTHUR KENYATTA GARRETT SR. M.A
Counselor
1852 W GRAND BLVD
DETROIT, MI 48208
Wayne County (517) 402-7444
LEE ZINSKY MA
Counselor (Addiction (Substance Use Disorder))
1852 W GRAND BLVD
DETROIT, MI 48208
Wayne County (586) 983-2670
DERRICK F HALE
Community Health Worker
1852 W GRAND BLVD
DETROIT, MI 48208
Wayne County (313) 894-8444
MR. DONALD E PHILLIPS
Counselor (Addiction (Substance Use Disorder))
1852 W GRAND BLVD
DETROIT, MI 48208
Wayne County (313) 894-8444
RAE HARRIS
Counselor (Addiction (Substance Use Disorder))
1852 W GRAND BLVD
DETROIT, MI 48208
Wayne County (586) 983-2670

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Harold Rudolph's NPI number?

The NPI number for Harold Rudolph is 1346588076. It was assigned to this individual provider in the NPPES registry on January 31, 2013.

Where is Harold Rudolph located?

Harold Rudolph practices at 1852 W Grand Blvd, Detroit, MI 48208. The listed phone number is (313) 894-8444.

What is Harold Rudolph's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X.

When was this NPI record last updated?

The NPPES record for Harold Rudolph was last updated on January 31, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.