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Intangible and Other Assets (Details) - USD ($)
12 Months Ended
Dec. 31, 2019
Dec. 31, 2018
Intangible assets subject to amortization, gross $ 4,944,353 $ 4,944,353
Less accumulated amortization 2,181,984 1,577,558
Intangible assets subject to amortization, net 2,762,369 3,366,795
Tradenames/trademarks (not subject to amortization) 465,000 465,000
Intangible assets 3,227,369 3,831,795
Other assets 20,326 20,326
Intangible and other assets, net $ 3,247,695 3,852,121
Minimum [Member]    
Estimated Useful Life 2 years  
Maximum [Member]    
Estimated Useful Life 15 years  
Tradenames and Trademarks [Member]    
Intangible assets subject to amortization, gross $ 417,307 417,307
Tradenames and Trademarks [Member] | Minimum [Member]    
Estimated Useful Life 2 years 6 months  
Tradenames and Trademarks [Member] | Maximum [Member]    
Estimated Useful Life 8 years  
Accreditations [Member]    
Intangible assets subject to amortization, gross $ 85,395 85,395
Estimated Useful Life 5 years  
Customer Relationships [Member]    
Intangible assets subject to amortization, gross $ 3,350,551 3,350,551
Customer Relationships [Member] | Minimum [Member]    
Estimated Useful Life 3 years  
Customer Relationships [Member] | Maximum [Member]    
Estimated Useful Life 15 years  
Patents [Member]    
Intangible assets subject to amortization, gross $ 970,100 970,100
Estimated Useful Life 4 years  
Noncompete Agreements [Member]    
Intangible assets subject to amortization, gross $ 121,000 $ 121,000
Estimated Useful Life 5 years