IndividualActive
Jesse Robinson
NPI 1396986162 · Substance Abuse Rehabilitation Facility · Enoch, UT
Provider details
- NPI number
- 1396986162
- Entity type
- Individual
- Primary specialty
- Substance Abuse Rehabilitation FacilityResidential Treatment Facilities
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Residential Treatment Facilities
Practice location
4747 N Oregon Trl
Enoch, UT 84721-7443
Phone: (435) 586-2592
Approximate (ZIP-level) locationGet directions
Mailing address
4747 N Oregon Trl
Enoch, UT 84721-7443
Registry dates
- Enumerated
- 2009-03-09
- Last updated
- 2009-03-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.