Healthcare Provider Details

I. General information

NPI: 1649105875
Provider Name (Legal Business Name): FOUNDATION POINT BEHAVIORAL HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/17/2026
Last Update Date: 06/17/2026
Certification Date: 06/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

707 ROBINS ST STE 101
CONWAY AR
72034-6516
US

IV. Provider business mailing address

707 ROBINS ST STE 101
CONWAY AR
72034-6516
US

V. Phone/Fax

Practice location:
  • Phone: 479-490-4903
  • Fax:
Mailing address:
  • Phone: 479-490-4903
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code324500000X
TaxonomySubstance Abuse Rehabilitation Facility
License Number
License Number State

VIII. Authorized Official

Name: JARIKSA MENJIVAR
Title or Position: PROJECT MANAGER
Credential:
Phone: 424-332-2997