| NPI | 1881196277 |
|---|---|
| Former Legal Business Name | WATERFALL BEHAVIORAL HEALTH SERVICES |
| Entity Type | Organization |
| Authorized Contact | MARTHA MOQUETE Administrator/Owner 702-929-6316 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: NV NV20181152974) |
| Enumeration Date | 2018-03-01 |
| Last Update Date | 2018-06-16 |