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 DIVISION AVE S, GRAND RAPIDS, MI 49507-2480
(616) 247-3815
Mailing address
1939 DIVISION AVE S, GRAND RAPIDS, MI 49507-2480
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
6801095127
MI
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
03/05/2013
Last updated
04/21/2026
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