JESSE GRAYDON ROBINSON NPI 1396986162

NPI Information

  • NPI: 1396986162
  • Provider Name: JESSE GRAYDON ROBINSON
  • Classification: Substance Abuse Rehabilitation Facility - 324500000X
  • Entity Type: Individual
  • Address: 4747 N OREGON TRL
    ENOCH, UT
    ZIP 84721
  • Phone: (435) 586-2592

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NPI Details

Jesse Graydon Robinson is a substance abuse rehabilitation facility in Enoch, UT. The provider is 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. Jesse Graydon Robinson NPI is 1396986162. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4747 N OREGON TRL
ENOCH, UT
ZIP 84721-443
Phone: (435) 586-2592

The enumeration date for this NPI number is 3/9/2009 and was last updated on 3/9/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1324500000XSubstance Abuse Rehabilitation FacilityYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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