Individual provider · Type 1 NPI
Jesse Graydon Robinson
Substance Abuse Rehabilitation Facility · Enoch, UT
NPI number
1396986162
Active
Practice location
4747 N Oregon Trl
Enoch, UT 84721-7443
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Substance Abuse Rehabilitation Facility Primary | 324500000X | None listed |
Substance Abuse Rehabilitation Facility: A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
About NPI 1396986162
Jesse Graydon Robinson's National Provider Identifier is 1396986162, issued on Mar 9, 2009. The primary taxonomy on file is Substance Abuse Rehabilitation Facility (324500000X), and the practice location is in Enoch, UT. The record was last updated on Mar 9, 2009.