# CAMINO COMMUNITY DEVELOPMENT CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Bethesda Health Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1588984348
- **Authorized official:** HEATHER AGUILERA CHC (DIRECTOR OF QI AND COMPLIANCE)
- **Authorized official phone:** (704) 467-7641

## Contact information

- **Practice address:** 133 STETSON DR, CHARLOTTE, NC 28262-3326
- **Practice address phone:** (704) 596-5606
- **Practice address fax:** (704) 596-7570
- **Mailing address:** 133 STETSON DR, CHARLOTTE, NC 28262-3326
- **Mailing address phone:** (704) 596-5606
- **Mailing address fax:** (704) 596-7570

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | — |
| 101YM0800X | Mental Health Counselor | — | — | — |
| 122300000X | Dentist | — | NULL | — |
| 122300000X | Dentist | — | — | — |
| 1223G0001X | General Practice Dentistry | — | NULL | — |
| 1223G0001X | General Practice Dentistry | — | — | — |
| 133N00000X | Nutritionist | — | NULL | — |
| 133N00000X | Nutritionist | — | — | — |
| 133NN1002X | Nutrition Education Nutritionist | — | NULL | — |
| 133NN1002X | Nutrition Education Nutritionist | — | — | — |
| 133V00000X | Registered Dietitian | — | NULL | — |
| 133V00000X | Registered Dietitian | — | — | — |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 2084B0040X | Behavioral Neurology & Neuropsychiatry Physician | — | NULL | — |
| 2084B0040X | Behavioral Neurology & Neuropsychiatry Physician | — | — | — |
| 261QP2300X | Primary Care Clinic/Center | — | NULL | Yes |
| 363A00000X | Physician Assistant | — | NULL | — |
| 363A00000X | Physician Assistant | — | — | — |
| 363L00000X | Nurse Practitioner | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 06/03/2010
- **Last updated:** 09/26/2025