| NPI | 1700021375 |
|---|---|
| Former Legal Business Name | EASTIN ENTERPRISES |
| Entity Type | Organization |
| Authorized Contact | STANLEY BRENT EASTIN President 505-345-2778 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NM NM 447) |
| Enumeration Date | 2008-12-10 |
| Last Update Date | 2008-12-10 |