Organization · Type 2 NPI

Wild Recovery LLC

Substance Abuse Rehabilitation Facility · Fridley, MN

NPI number 1659245330 Active

Practice location

1250 Moore Lake Dr E Ste 210
Fridley, MN 55432-5135

Fax (612) 465-2096

Specialties and licenses

TaxonomyCodeLicense
Community/Behavioral Health Agency 251S00000XNone listed
Substance Abuse Rehabilitation Facility Primary 324500000XNone listed

Substance Abuse Rehabilitation Facility: A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

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About NPI 1659245330

Wild Recovery LLC's National Provider Identifier is 1659245330, issued on Oct 3, 2025. The primary taxonomy on file is Substance Abuse Rehabilitation Facility (324500000X), and the practice location is in Fridley, MN. The record was last updated on Jun 23, 2026.