OrganizationActive
A Miraculous Haven Inc.
NPI 1417684283 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Burleson, TX
Provider details
- NPI number
- 1417684283
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Mary Willrich, Owner(817) 797-6107
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000X
Residential Treatment Facilities
Practice location
4135 Timber Vista Dr
Burleson, TX 76028-2098
Phone: (817) 797-6107
Approximate (ZIP-level) locationGet directions
Mailing address
4135 Timber Vista Dr
Burleson, TX 76028-2098
Registry dates
- Enumerated
- 2022-08-02
- Last updated
- 2022-08-02
- Certified
- 2022-08-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.