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Organization

THE MISSING PEACE COLLECTIVE

Active
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Organization

THE MISSING PEACE COLLECTIVE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. CICERO DESHAWN TAYLOR (CHIEF OF COMMUNITY OUTREACH)
(612) 412-7811
Entity
Organization

Contact information

Practice address
4159 PENN AVE N, MINNEAPOLIS, MN 55412-1535
(612) 412-7811
Mailing address
4159 PENN AVE N, MINNEAPOLIS, MN 55412-1535
(612) 412-7811

Taxonomy

Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
Primary
—
—
225800000X
Recreation Therapist
—
—

Other

Enumeration date
08/08/2026
Last updated
08/08/2026
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