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Notes Payable (Details 1) - USD ($)
Mar. 31, 2019
Dec. 31, 2018
Notes payable $ 10,442,939 $ 10,087,939
Advanzeon parent [Member]    
Notes payable 5,010,016 5,010,016
PVMS [Member]    
Notes payable $ 5,432,923 $ 5,077,923