Organization
KIN WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAKOTA K GRIPP (CEO)
(562) 544-8411
Entity
Organization
Contact information
Practice address
18800 MAIN ST STE 204, HUNTINGTON BEACH, CA 92648-1718
(562) 544-8411
Mailing address
18800 MAIN ST STE 204, HUNTINGTON BEACH, CA 92648-1718
(562) 544-8411
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
Other
Enumeration date
02/04/2025
Last updated
06/11/2025
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