Whalio Doctors

NPI 1245316447

Southwestern Medical Center

Organisation Psychiatric Residential Treatment Facility Lawton, OK

Practice location

Address
5602 SW Lee Blvd, Lawton, OK 73505-9635
Phone
(580) 531-4700
Mailing address
680 S 4th St, Louisville, KY 40202-2407

Authorised official

Name
Johnetta Traylor
Title
Ao
Phone
(502) 596-6063

Registered specialties

Psychiatric Residential Treatment Facility Primary
Residential Treatment Facilities Taxonomy 323P00000X Licence 2231 (OK)

Registry record

NPI
1245316447
Entity type
Organization
NPI issued
31 Oct 2006
Record last updated
26 Jun 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.