Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Wild Recovery LLC

Organization Community/Behavioral Health Agency · NPI 1659245330

Wild Recovery LLC is a Community/Behavioral Health Agency in Fridley, Minnesota. Registered with an NPI since 2025.

In the registry since
2025
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1250 Moore Lake Dr E Ste 210
Fridley, MN 55432-5135
Phone: (612) 201-2280
Fax: (612) 465-2096
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Substance Abuse Rehabilitation Facility (primary) Taxonomy 324500000X
Community/Behavioral Health Agency Taxonomy 251S00000X

Record details

NPI number1659245330
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationWild Recovery LLC
Authorized official Tracy Doerr — Ceo · (612) 201-2280
NPI enumeratedOctober 3, 2025
Last updated in NPPESJune 23, 2026
Certification dateJune 23, 2026
Mailing address1250 Moore Lake Dr E Ste 210, Fridley, MN 55432-5135

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