Healthcare Provider Details
I. General information
NPI: 1801700182
Provider Name (Legal Business Name): BARRETT FOUNDATION INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/01/2026
Last Update Date: 10/01/2026
Certification Date: 10/01/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
10300 CONSTITUTION AVE NE # 87112
ALBUQUERQUE NM
87112-5359
US
IV. Provider business mailing address
10300 CONSTITUTION AVE NE # 87112
ALBUQUERQUE NM
87112-5359
US
V. Phone/Fax
- Phone: 505-246-9244
- Fax:
- Phone: 505-246-9244
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251S00000X |
| Taxonomy | Community/Behavioral Health Agency |
| License Number | |
| License Number State | NULL |
VIII. Authorized Official
Name:
CORY
ANN
LEE
Title or Position: CHIEF EXECUTIVE OFFICER
Credential:
Phone: 505-246-9244