Individual provider · Type 1 NPI

Elise M. Probasco, QMHS BA CMS BA

Community/Behavioral Health Agency · Lancaster, OH

NPI number 1760033401 Active

Practice location

111 S Broad St
Lancaster, OH 43130-4398

Mailing address

434 Eastland Rd
Berea, OH 44017-1217

Specialties and licenses

TaxonomyCodeLicense
Case Management Agency 251B00000XNone listed
Community/Behavioral Health Agency Primary 251S00000XNone listed

Community/Behavioral Health Agency: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day suppo…

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About NPI 1760033401

Elise M. Probasco, QMHS BA CMS BA's National Provider Identifier is 1760033401, issued on Sep 24, 2019. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Lancaster, OH. The record was last updated on Sep 24, 2019.