=====================================================
General NPI Number Information
=====================================================
NPI Number | 1093666547
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | GOOD CARE CENTER LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 02/09/2026
-----------------------------------------------------
Last Update Date | 02/09/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 600 E CALIFORNIA AVE
-----------------------------------------------------
City | WALTERS
-----------------------------------------------------
State | OK
-----------------------------------------------------
Zip | 73572
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 404-759-0520
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 6268 SELBORN DR SW
-----------------------------------------------------
City | ATLANTA
-----------------------------------------------------
State | GA
-----------------------------------------------------
Zip | 30331-9407
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 404-759-0520
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CEO
-----------------------------------------------------
Name | CALEB KOJO OFORI
-----------------------------------------------------
Credential | BCBA
-----------------------------------------------------
Telephone | 404-759-0520
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 103K00000X
-----------------------------------------------------
Taxonomy Name | Behavior Analyst
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------