Recent advancements in multimodal large language models (MLLMs) have shown promising results, yet existing approaches struggle to effectively handle both temporal and spatial localization simultaneously. This challenge stems from two key issues: first, incorporating spatial-temporal localization introduces a vast number of coordinate combinations, complicating the alignment of linguistic and visual coordinate representations; second, encoding fine-grained temporal and spatial information during video feature compression is inherently difficult. To address these issues, we propose LLaVA-ST, a MLLM for fine-grained spatial-temporal multimodal understanding. In LLaVA-ST, we propose Language-Aligned Positional Embedding, which embeds the textual coordinate special token into the visual space, simplifying the alignment of fine-grained spatial-temporal correspondences. Additionally, we design the Spatial-Temporal Packer, which decouples the feature compression of temporal and spatial resolutions into two distinct point-to-region attention processing streams. Furthermore, we propose ST-Align dataset with 4.3M training samples for fine-grained spatial-temporal multimodal understanding. With ST-align, we present a progressive training pipeline that aligns the visual and textual feature through sequential coarse-to-fine stages. LLaVA-ST achieves outstanding performance on 12 benchmarks requiring fine-grained temporal, spatial, or spatial-temporal interleaving multimodal understanding. Our code, data and benchmark will be released.