OrganizationActive
4 Corners Residential Care, LLC
NPI 1063657450 · Intellectual and/or Developmental Disabilities Residential Treatment Facility · Austin, TX
Provider details
- NPI number
- 1063657450
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment FacilityResidential Treatment Facilities
- Authorized official
- Roderic Horton, President
Mailing address
408 W 17th St
Austin, TX 78701-1242
Registry dates
- Enumerated
- 2008-12-12
- Last updated
- 2008-12-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.