Segment and Related Information (Details) - USD ($)	3 Months Ended
	Mar. 31, 2017	Mar. 31, 2016	Dec. 31, 2016
Segment Reporting Information [Line Items]
Service Revenues	$ 10,905,000
Net Income (loss)	(3,054,850)	$ (6,426,866)
Depreciation and Amortization	2,998,766	$ 1,707,406
Capital Expenditures	1,400,000
Total Assets	107,701,036		$ 49,201,572
Corporate [Member]
Segment Reporting Information [Line Items]
Service Revenues
Net Income (loss)	(1,472,000)
Depreciation and Amortization	20,000
Capital Expenditures
Total Assets	1,000,000
Total [Member]
Segment Reporting Information [Line Items]
Service Revenues	10,905,000
Depreciation and Amortization	2,999,000
Capital Expenditures	1,400,000
Total Assets	107,700,000
Mid-Atlantic [Member]
Segment Reporting Information [Line Items]
Service Revenues	2,725,000
Net Income (loss)	(966,000)
Depreciation and Amortization	937,000
Capital Expenditures	500,000
Total Assets	58,800,000
Midwest [Member]
Segment Reporting Information [Line Items]
Service Revenues	8,180,000
Net Income (loss)	(585,000)
Depreciation and Amortization	2,042,000
Capital Expenditures	900,000
Total Assets	$ 47,900,000