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Wild Recovery LLC

Substance Abuse Rehabilitation Facility in Fridley, MN · enumerated 2025 · authorized official Tracy Doerr, Ceo.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1659245330

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Registry record

Entity type Organization (Type 2)
Legal business name Wild Recovery LLC
Parent organization Wild Recovery LLC
Practice address 1250 Moore Lake Dr E Ste 210, Fridley, MN, 55432
Phone (612) 201-2280
Fax (612) 465-2096
Enumeration date Oct 3, 2025
Last updated in NPPES Jun 23, 2026

Taxonomy & classification

251S00000X Community/Behavioral Health Agency Agencies Secondary
324500000X Substance Abuse Rehabilitation Facility Residential Treatment Facilities Primary

Authorized official

Name Tracy Doerr
Title Ceo
Phone (612) 201-2280

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Wild Recovery LLC?
The NPI for Wild Recovery LLC is 1659245330, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Wild Recovery LLC?
NPPES lists Tracy Doerr (Ceo) as the authorized official for this organization.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2026-06-23.