Healthcare Provider Details

I. General information

NPI: 1932030970
Provider Name (Legal Business Name): THE UNEARTHED FOUNDATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/28/2026
Last Update Date: 05/28/2026
Certification Date: 05/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6445 W PICO AVE
FRESNO CA
93723-3033
US

IV. Provider business mailing address

122 WHITAKER ST STE 1
HOMESTEAD PA
15120-2447
US

V. Phone/Fax

Practice location:
  • Phone: 412-979-7516
  • Fax:
Mailing address:
  • Phone: 412-979-7516
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State

VIII. Authorized Official

Name: MS. BRELAND BROWN
Title or Position: PROGRAM DIRECTOR
Credential:
Phone: 412-979-7516