| Organization Name: | ST JAMES COMMUNITY FRESH START PROGRAM |
| NPI Number: | 1932316221 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | BERTHA MAE DAVIS WILLIAMS (DIRECTOR CEO) |
| Mailing Address: | 108 N Ezidore St Gramercy |
| State: | LA US |
| Postal Code: | 700520850 |
| Phone Number: | 2252584029 |
| Fax Number: | 2252584109 |
| NPI Enumeration Date: | 05/17/2007 |
| NPI Last Update Date: | 07/09/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |