Healthcare Provider Details

I. General information

NPI: 1316865587
Provider Name (Legal Business Name): NATIONAL COUNCIL ON ALCOHOLISM AND DRUG DEPENDENCE OF MIDDLESEX COUNTY, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/07/2026
Last Update Date: 07/07/2026
Certification Date: 07/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

620 CRANBURY RD STE 105
EAST BRUNSWICK NJ
08816-4000
US

IV. Provider business mailing address

620 CRANBURY RD STE 105
EAST BRUNSWICK NJ
08816-4000
US

V. Phone/Fax

Practice location:
  • Phone: 732-254-3344
  • Fax: 732-254-4224
Mailing address:
  • Phone: 732-254-3344
  • Fax: 732-254-4224

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: NURIS RODRIGUEZ PABON
Title or Position: EXECUTIVE DIRECTOR
Credential: LCSW
Phone: 732-254-3344