# RISS INDIVIDUAL SUPPORT SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1629836945
- **Authorized official:** RAYSHELL BUTLER (OWNER/PROVIDER)
- **Authorized official phone:** (323) 241-9404

## Contact information

- **Practice address:** 18534 PADDYS CREEK TRL, KATY, TX 77449-5991
- **Practice address phone:** (323) 241-9404
- **Mailing address:** 18534 PADDYS CREEK TRL, KATY, TX 77449-5991
- **Mailing address phone:** (323) 241-9404

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 372600000X | Adult Companion | — | NULL | Yes |
| 372600000X | Adult Companion | — | — | Yes |

## Other

- **Enumeration date:** 03/11/2024
- **Last updated:** 03/11/2024