| Saint James Community Fresh Start Program Inc | |
|
108 N Ezidore St Gramercy LA 70052-0850 | |
| (225) 623-9751 | |
| (225) 258-4109 |
| Full Name | Saint James Community Fresh Start Program Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 108 N Ezidore St, Gramercy, Louisiana |
| Authorized Official Name and Position | Bertha Mae Davis-williams (DIRECTOR/CEO) |
| Authorized Official Contact | 2256239751 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Saint James Community Fresh Start Program Inc Po Box 850 Gramercy LA 70052-0850 Ph: (225) 623-9751 | Saint James Community Fresh Start Program Inc 108 N Ezidore St Gramercy LA 70052-0850 Ph: (225) 623-9751 |
| NPI Number | 1750556015 |
|---|---|
| Provider Enumeration Date | 04/28/2008 |
| Last Update Date | 04/28/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750556015 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
Affinity Care Providers, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 837 N. Pine Street Ste. C, Gramercy, LA 70052 Phone: 225-869-6005 Fax: 225-869-6007 | |
Affinity Care Providers, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 837 N. Pine Street Ste.c, Gramercy, LA 70052 Phone: 225-869-6005 Fax: 225-869-6007 | |
Affinity Care Providers, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 837 N. Pine Street Ste. C, Gramercy, LA 70052 Phone: 225-869-6005 Fax: 225-869-6007 | |
St James Community Fresh Start Program Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 108 N Ezidore St, Gramercy, LA 70052 Phone: 225-258-4029 Fax: 225-258-4109 |