A $1.3 million Plunket centre in Onekawa Park has been granted resource consent.
The project to build a one-stop shop for families with under-5s was approved by Napier City Council's hearings panel.
Project manager Alison Prins said the decision was "amazing news".
About 20 per cent of the money needed had already beensecured and the consent decision would give fundraising a new boost.
"It gives it the rubber stamp that it's all go," Ms Prins said.
"We can launch our fundraising properly early next year, and get the funds and build it."
Plunket would move ahead with building consent at the same time as raising money, she said.
The centre would include a range of services for families, including maternal and post-natal care, and a parent centre.
It would be built on public reserve land next to Onekawa pool.
Eight submissions were received on the proposal, one in opposition.
After a pre-hearing meeting, the opposing submitter withdrew their objection.
The consent was subject to conditions including hours of operation, noise controls and the need for technical reports to check for contamination on the former landfill site.