Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Organization
FAMILY OUTREACH CENTER
Active
Organization
FAMILY OUTREACH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VENEESE CHANDLER (EXECUTIVE DIRECTOR)
(616) 247-3815
Entity
Organization
Contact information
Practice address
1939 S DIVISION, GRAND RAPIDS, MI 49507
(616) 247-3815
(616) 245-0450
Mailing address
1939 S DIVISION, GRAND RAPIDS, MI 49507
(616) 247-3815
(616) 245-0450
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0D16322
MEDICARE ID
MI
05
—
4483587
—
MI
Enumeration date
08/15/2006
Last updated
03/08/2018
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up