Organization
WILD RECOVERY LLC
Active
Organization
WILD RECOVERY LLC
Active
Parent organization
WILD RECOVERY LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
WILD RECOVERY LLC
Authorized official
TRACY LEE/ALVIN DOERR LPCC, LADC (CEO)
(612) 201-2280
Entity
Organization
Contact information
Practice address
1250 MOORE LAKE DR E STE 210, FRIDLEY, MN 55432-5135
(612) 201-2280
(612) 465-2096
Mailing address
1250 MOORE LAKE DR E STE 210, FRIDLEY, MN 55432-5135
(612) 201-2280
(612) 465-2096
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
10/03/2025
Last updated
06/23/2026
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