Segment and Related Information (Details) - USD ($)
 3 Months Ended 6 Months Ended
Jun. 30, 2017
Jun. 30, 2016
Jun. 30, 2017
Jun. 30, 2016
Dec. 31, 2016
Segment Reporting Information [Line Items]          
Service Revenues $ 14,220,423 $ 8,006,098 $ 25,125,490 $ 15,494,337  
Net Income (loss) (7,575,068) $ (4,368,641) (10,629,918) (10,586,133)  
Depreciation and Amortization     7,391,591 $ 3,505,840  
Capital Expenditures     1,400,000    
Goodwill 13,248,633   13,248,633   $ 7,234,420
Total Assets 110,090,544   110,090,544   $ 49,198,632
Corporate [Member]          
Segment Reporting Information [Line Items]          
Service Revenues        
Net Income (loss)     (5,718,000)    
Depreciation and Amortization     (23,000)    
Capital Expenditures     100,000    
Goodwill      
Total Assets 1,085,000   1,085,000    
Total [Member]          
Segment Reporting Information [Line Items]          
Service Revenues     25,125,000    
Net Income (loss)     (10,555,000)    
Depreciation and Amortization     7,398,000    
Capital Expenditures     9,226,000    
Goodwill 13,248,000   13,248,000    
Total Assets 110,090,000   110,090,000    
Mid-Atlantic [Member]          
Segment Reporting Information [Line Items]          
Service Revenues     8,160,000    
Net Income (loss)     (2,841,000)    
Depreciation and Amortization     3,072,000    
Capital Expenditures     2,626,000    
Goodwill 6,014,000   6,014,000    
Total Assets 58,800,000   58,800,000    
Midwest [Member]          
Segment Reporting Information [Line Items]          
Service Revenues     16,965,000    
Net Income (loss)     (1,996,000)    
Depreciation and Amortization     4,296,000    
Capital Expenditures     6,500,000    
Goodwill 7,234,000   7,234,000    
Total Assets $ 50,205,000   $ 50,205,000