Grand Avenue Community Outreach is an ecumenical, volunteer-driven, non-profit organization that provides social services and outreach programs designed to meet physical, spiritual, and long-term needs to people in Northwest Iowa and beyond. The main lobby is open Monday through Friday from 7am to 1pm. Grand Avenue Free Medical Clinic is available the 3rd Thursday of each month from 4 pm to 8 pm, walk-ins are welcome - first come, first served and the Dental Clinic is available by appointment only. Free Food and Clothing Distribution is on the 2nd and 4th Thursday of each month from 2 to 5pm but emergency food bags are always available in the lobby (limit one per week for each household) and the Grand Avenue Community Kitchen offers free hot meals every Monday and Thursday evening from 5-6:30pm. We are also home to Birthright of Spencer, the Clay County office for Family Crisis Centers, All Those Yesterdays Mental Health & Substance Abuse Counseling, United Way of Spencer, the American Red Cross of Clay County, Hope Haven's Day-Hab program, Narcotics Anonymous, Alcoholics Anonymous, and various support groups.