IndividualActive
Thad Malik
NPI 1982177689 · Foster Care Agency · Prescott, AZ
Provider details
- NPI number
- 1982177689
- Entity type
- Individual
- Primary specialty
- Foster Care AgencyAgencies
- Sex
- Male
- Sole proprietor
- Yes
- License
- 9685638 (AZ)
Mailing address
1708 Sequoia Dr
Prescott, AZ 86301-1243
Registry dates
- Enumerated
- 2019-01-04
- Last updated
- 2019-01-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.