Upson Hall LLC
NPI #1063177640 in Broomfield, Colorado
Provider Information
- NPI Number
- 1063177640
- Entity Type
- Organization
- Organization Name
- Upson Hall LLC
- Primary Specialty
- Clinic/Center - Rehabilitation, Substance Use Disorder
- Enumeration Date
- Nov 8, 2021
- Last Updated
- May 7, 2025
Practice Location
- Address
- 295 INTERLOCKEN BLVD STE 400
- City
- Broomfield
- State
- Colorado
- ZIP Code
- 80021-8105
- Phone
- (657) 304-0103
Authorized Official
- Name
- GILBERT YATES
- Title
- CONTRACT MANAGER
- Phone
- (877) 262-7803
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychiatric Hospital |
| Clinic/Center - Rehabilitation, Substance Use Disorder — Rehabilitation, Substance Use Disorder |
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