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

TaxonomyCodeLicense
Substance Abuse Rehabilitation Facility Primary 324500000XNone 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.