MR. HAROLD RUDOLPH
Community Based Residential Treatment Facility, Mental Illness
Active
Individual
NPI: 1346588076
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Community Based Residential Treatment Facility, Mental Illness | 320800000X | Yes | 820174 (MI) |
Frequently Asked Questions
NPI 1346588076 is the National Provider Identifier for MR. HAROLD RUDOLPH, a Community Based Residential Treatment Facility, Mental Illness provider located in Detroit, MI. This NPI was enumerated on January 31, 2013.
MR. HAROLD RUDOLPH practices at 1852 W GRAND BLVD, Detroit, MI 48208.
Quick Facts
- NPI
- 1346588076
- Type
- Individual
- Enumerated
- Jan 31, 2013
- Last Updated
- Jan 31, 2013
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