Provider Demographics
NPI:1801037783
Name:VILLA MAJELLA OF SANTA BARBARA
Entity Type:Organization
Organization Name:VILLA MAJELLA OF SANTA BARBARA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:JEANETTE
Authorized Official - Middle Name:FRANCES
Authorized Official - Last Name:NADEAU
Authorized Official - Suffix:
Authorized Official - Credentials:MSW
Authorized Official - Phone:805-964-1650
Mailing Address - Street 1:PO BOX 60029
Mailing Address - Street 2:
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93160-0029
Mailing Address - Country:US
Mailing Address - Phone:805-964-1650
Mailing Address - Fax:805-964-2117
Practice Address - Street 1:604 N KELLOGG AVE
Practice Address - Street 2:
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93111-1437
Practice Address - Country:US
Practice Address - Phone:805-683-2838
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-23
Last Update Date:2009-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Single Specialty