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Jesse Graydon Robinson
Substance Abuse Rehabilitation Facility in Enoch, Utah
NPI 1396986162

Jesse Graydon Robinson is a Substance Abuse Rehabilitation Facility based in Enoch, UT. Jesse Graydon Robinson practices in Enoch, UT. The NPI Number for Jesse Graydon Robinson is 1396986162 and holds a License No. (Utah).

The current practice location address for Jesse Graydon Robinson is 4747 N Oregon Trl, Enoch, UT and can be reached out via phone at 435-586-2592.

Location: 4747 N Oregon Trl, Enoch, UT, 84721-7443
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1396986162
Provider Name
Jesse Graydon Robinson
Credential
Provider Entity Type
Individual
Gender
Male
Address
4747 N Oregon Trl, Enoch, UT, 84721-7443
Phone Number
435-586-2592
Fax Number
Provider Enumeration Date
03/09/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4747 N Oregon Trl
City
Enoch
State
Utah
Zip
84721-7443
Phone Number
435-586-2592
Fax Number
person
Provider Business Mailing Address Details
Address
4747 N Oregon Trl
City
Enoch
State
Utah
Zip
84721-7443
Phone Number
435-586-2592
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
-
Taxonomy
324500000X
License No.
()
Definition
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.
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